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Anal fistula is an abnormal pathway that connects the anorectal tract to the perianal skin. ThePark’s classification describes four different types of anal fistulas depending on their links with the sphincterapparatus. In this paper, we report an interesting case of post-traumatic complex trans-sphincteric fistulatreated with VAAFT procedure.Case Presentation: A 60-year-old-male patient, from an accidental fall, developed a gluteal abscess with ahigh trans-sphincteric anal fistula and a secondary tract leading to a large second abscess located in the rightischiorectal fossa. An abscess incision was done, and a draining seton was placed in another Institution. Thepatient came to our Hospital and underwent surgery using Video Assisted Anal Fistula Treatment (VAAFT)procedure.Conclusions: VAAFT is an effective and safe procedure for complex anal fistula, even when they have apost-traumatic origin.

Video Assisted Anal Fistula Treatment (VAAFT) for Treating a Complex Posttraumatic Anal Fistula: Case Report