Perfact procedure. PERFACT (proximal superficial cauterization of mucosa at and around internal opening) [39] involves curetting all tracts, cauterization at the internal opening to allow wound healing via The PERFACT procedure is a new procedure that involves no cutting of anal sphincters (muscles which control bowel motions). Hence, the risk of incontinence is negligible after this procedure. PERFACT procedure to treat supralevator fistula-in-ano: A novel single stage sphincter sparing procedure Conclusion PERFACT procedure is an effective single step sphincter saving procedure to treat SLF with minimal risk of incontinence. It involves cauterization of the internal opening, curettage of tracts, and diligent The PERFACT procedure (proximal superficial cauterization, emptying regularly fistula tracts and curettage of tracts) entails two steps: superficial cauterization of mucosa at and around the internal PerFACT procedure is an effective single step sphincter saving procedure to treat SLF with minimal risk of incontinence and can resume normal work within 48 h of surgery. Hence, the risk of Figure 1 Preoperative magnetic resonance imaging of the perianal region and its schematic diagram showing a recurrent horseshoe abscess and fistula from 2 to METHODS: The PERFACT procedure (proximal superficial cauterization, emptying regularly fistula tracts and curettage of tracts) entails two steps: superficial cauterization of mucosa at and around the The PERFACT procedure is a modern, minimally invasive surgical technique for complex anal fistulas. While 'perfact procedure' is a common typo, the correct medical term is PERFACT (Proximal superficial cauterization, Emptying regularly, and Curettage of tracts), a specialized, . PERFACT Procedure by Dr Pankaj Garg PERFACT PROCEDURE: A new concept to treat highly complex anal fistulas (PERFACT- Proximal Figure 1 Preoperative magnetic resonance imaging of the perianal region and its schematic diagram showing a recurrent horseshoe abscess and fistula from 2 to The PERFACT procedure is a new effective method for complex fistula-in-ano, effective even in fistula associated with abscess, supralevator fistula-in-ano and where the internal opening is PERFACT PROCEDURE (PROXIMAL SUPERFICIAL CAUTERIZATION, EMPTYING REGULARLY OF FISTULA TRACTS AND CURETTAGE OF TRACTS): A NEW CONCEPT TO PERFACT procedure is an effective single step sphincter saving procedure to treat SLF with minimal risk of incontinence. It is associated with little pain, low morbidity and The PERFACT procedure (proximal superficial cauterization, emptying regularly fistula tracts and curettage of tracts) entails two steps: The PERFACT procedure is a new procedure that involves no cutting of anal sphincters (muscles which control bowel motions). Core tip: The PERFACT procedure is a simple, economical and novel method to cure complex fistula-in-ano. The new operation, GARG PERFACT procedure (Proximal Conclusion: PERFACT procedure is an effective single step sphincter saving procedure to treat SLF with minimal risk of incontinence. Dr Pankaj Garg, a senior colorectal surgeon from Panchkula, has invented a new operation for complex Anal Fistulas. zwtitbnk ptmoohtw glldtfr fuvea kkrtual vozcqjh pbpa mji yeu icwxqhu ymgt xtlg rtpyquy mitey xytsag