“…This approach has shown excellent success rates ranging from 91% to 100% [7,12] . The recurrence was attributed to incomplete excision of the epithelial lining of the fistula [6,25] . During the closed approach of fistulectomy, adequate skin incision was performed to allow direct visualization of the anatomy and the fistula to be completely excised down to its base with closing of the proximal end.…”