PERFACT procedure: A new concept to treat highly complex anal fistula

Figure 3 Management of a 45-year-old male patient by PERFACT procedure. He had a recurrent transsphincteric fistula with external opening at 2 o’clock and internal opening at 6 o’clock posterior midline. Shows proximal superficial cauterization and widening of the external opening. Horizontal arrows show the external opening - preoperative in the left picture and postoperative in the right. The vertical arrow in the right picture shows the position of proximal superficial cauterization.