The TROPIS procedure shows promise for treating high complex anal fistulas with strong outcomes.

• One-time cure rate stands at 80% with a final cure rate of 89%.
• Recurrence rate after initial surgery is low at 20%, with no reported adverse events.

Consider adopting TROPIS as a viable option in surgical practice for this challenging condition.

• Analysis included six studies with a total of 499 patients, confirming robust results without significant bias.