Fistulectomy Set

Instruments for video-assisted anal fistula treatment according to the MEINERO technique

Benefits of the VAAFT technique:
● Sphincter-preserving
● Reduced risk of incontinence compared to
other procedures such as, for example, fistulectomy
● Localization and closure of the internal
fistula opening
● Elimination of the fistula from the inside
● Minimal surgical wounds in the perianal
area
● Hardly any post-operative treatment required
● Rapid resumption of work possible

Benefits of the EPSIT technique:
● Can also be performed in an outpatient setting
● Hardly any postoperative pain
● Quick resumption of normal activities possible

VAAFT (Video-Assisted Anal Fistula Treatment) – MEINERO technique
The MEINERO VAAFT technique is performed for the surgical treatment of anal fistulas and recurrences. With the endoscope, experienced users are able to perform localization of the internal fistula opening and any secondary fistula openings or abscess cavities under visual control – key points for successful treatment. A new treatment concept is thus provided, i.e. “fistuloscopy”. This technique comprises two phases: A diagnostic (fistuloscopy) and an operative one.
Following fistuloscopy, radical treatment of the primary and secondary fistula openings is performed under visual control using a unipolar electrode which is passed through the working channel of the endoscope. This is a sphincter-sparing procedure that aims to preserve continence.
The internal fistula opening – depending on the tissue properties – can be closed through various methods.

MEINERO EPSIT (Endoscopic Pilonidal Sinus Treatment) – Video-assisted Treatment of the Pilonidal Sinus
The MEINERO EPSIT technique is used for the surgical treatment of the pilonidal sinus (coccygeal fistula) and its recurrences. The endoscope is inserted through a small incision in the sacrococcygeal area.
Experienced users are thus able to perform localization of the infected area and any fistula tracts under direct vision. A forceps is introduced through the working channel of the endoscope to remove any hairs located on the pilonidal sinus under visual control. Subsequently, radical treatment is performed using a unipolar
electrode that is passed through the working channel of the endoscope. The necrotic material is removed from the entire area using an endoscopic brush or curette. The result is a small incision (depending on the extent of the infected area, two or more incisions may be required).