Efficacy of FiLaC in different types of anal fistula. A systematic review and meta-analysis.
Xingli Xu, Jiong Wu, Jialin Qin et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the efficacy of Fistula Tract Laser Closure (FiLaC) across different types of anal fistula. Analyzing 16 studies, it found that simple fistulae had a healing rate of 60.8%, while complex fistulae had a lower rate of 54.6%. Transsphincteric fistulae showed the best odds of healing among complex types.
Key findings
- Healing rate for simple fistulae was 60.8%, compared to 54.6% for complex fistulae.
- Transsphincteric fistulae had the best odds of healing following FiLaC.
- Extrasphincteric and suprasphincteric fistulae had a success rate of about 50%.
Why it matters
Understanding the varying success rates of FiLaC for different anal fistula types can guide clinicians in selecting appropriate treatment strategies, potentially improving patient outcomes in this challenging condition.