TROPIS shows high cure rates for complex anal fistulas

Researchers conducted a systematic review and meta-analysis of the Transanal Opening of Intersphincteric Space (TROPIS) procedure for high complex anal fistulas, involving six studies and 499 patients. The analysis revealed a one-time cure rate of 80%, with a recurrence rate of 20% and an impressive final cure rate of 89%. Notably, no adverse events were reported, indicating the procedure’s safety and efficacy. Sensitivity analyses confirmed the stability of these promising results.