The latest CREST® Weekly Curriculum module, ERAF and Anal Fistula, is now available! Healing the fistula is balanced with preserving continence, therefore excluding primary fistulotomy is many cases. The endorectal advancement flap has been considered the "gold standard" treatment option yet quality data remains elusive and published studies suggest there remains room for improvement in surgical outcomes. There are several variables that can be performed in the technical steps of the operation, including flap thickness, use of a seton, fistulectomy and fibrin glue instillation. Each of these are reviewed and data is presented related to outcomes.
- Understand the etiologies and types of perianal fistulas.
- Understand the role for endorectal advancement flap including indications and contraindications.
- Recognize the variables in performing the surgery and data that support a standardized approach.
- Understand the basic balance of curing the fistula while preserving continence and how outcomes are measured accordingly.
CREST® Weekly Curriculum modules are free to members. To access, log in at the top of this page, click on MY ACCOUNT, then follow the link to the CREST® Online Learning Center. Not a member of ASCRS? Learn more about the benefits of membership in the American Society of Colon and Rectal Surgeons.