.modern-fistula-options[data-astro-cid-vgl2f2gq]{grid-template-columns:repeat(2,minmax(0,1fr));gap:1.5rem 2.5rem;margin-top:2rem;display:grid}.modern-fistula-options[data-astro-cid-vgl2f2gq] article[data-astro-cid-vgl2f2gq]{border-top:1px solid var(--border);padding-top:1rem}.modern-fistula-options[data-astro-cid-vgl2f2gq] h3[data-astro-cid-vgl2f2gq]{font-size:1.35rem}.modern-fistula-options[data-astro-cid-vgl2f2gq] p[data-astro-cid-vgl2f2gq]{color:var(--muted)}.other-pathways-title[data-astro-cid-vgl2f2gq]{margin-top:2.5rem}@media (width<=650px){.modern-fistula-options[data-astro-cid-vgl2f2gq]{grid-template-columns:1fr}}.condition-breadcrumb[data-astro-cid-vgl2f2gq]{min-height:46px;color:var(--muted);align-items:center;gap:.55rem;font-size:.72rem;display:flex}.condition-breadcrumb[data-astro-cid-vgl2f2gq] a[data-astro-cid-vgl2f2gq]{color:var(--teal-dark);text-decoration:none}.fistula-hero[data-astro-cid-vgl2f2gq]{background:var(--ivory);padding-block:clamp(3.5rem,6vw,6rem)}.fistula-hero__grid[data-astro-cid-vgl2f2gq]{grid-template-columns:minmax(0,1fr) minmax(20rem,1fr);align-items:center;gap:clamp(2.5rem,6vw,5.5rem);display:grid}.fistula-hero__copy[data-astro-cid-vgl2f2gq]{max-width:720px}.fistula-display[data-astro-cid-vgl2f2gq]{max-width:14ch;color:var(--ink-deep);letter-spacing:-.045em;margin-bottom:1.35rem;font-family:Georgia,Times New Roman,serif;font-size:clamp(3rem,5vw,4.5rem);line-height:.98}.fistula-display[data-astro-cid-vgl2f2gq] 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header[data-astro-cid-vgl2f2gq]>p[data-astro-cid-vgl2f2gq]:last-child,.section-heading[data-astro-cid-vgl2f2gq]>p[data-astro-cid-vgl2f2gq]:last-child,.locations-grid[data-astro-cid-vgl2f2gq] header[data-astro-cid-vgl2f2gq]>p[data-astro-cid-vgl2f2gq]{color:var(--muted)}.symptoms-section[data-astro-cid-vgl2f2gq]{background:var(--white)}.symptom-list[data-astro-cid-vgl2f2gq]{border-top:1px solid var(--border);grid-template-columns:repeat(2,minmax(0,1fr));margin:0;padding:0;list-style:none;display:grid}.symptom-list[data-astro-cid-vgl2f2gq] li[data-astro-cid-vgl2f2gq]{border-bottom:1px solid var(--border);min-height:78px;padding:1.15rem 1.1rem 1.15rem 1.65rem;font-family:Georgia,Times New Roman,serif;font-size:1.08rem;line-height:1.35;position:relative}.symptom-list[data-astro-cid-vgl2f2gq] li[data-astro-cid-vgl2f2gq]:before{background:var(--teal);content:"";border-radius:50%;width:6px;height:6px;position:absolute;top:1.55rem;left:.25rem}.editorial-note[data-astro-cid-vgl2f2gq]{color:var(--muted);margin:1.2rem 0 0;font-size:.84rem}.comparison-section[data-astro-cid-vgl2f2gq]{background:var(--ivory);scroll-margin-top:7rem}.section-heading[data-astro-cid-vgl2f2gq]{max-width:820px;margin-bottom:clamp(2.2rem,4vw,3.5rem)}.comparison-grid[data-astro-cid-vgl2f2gq]{border-top:1px solid var(--border);border-bottom:1px solid var(--border);grid-template-columns:repeat(2,minmax(0,1fr));display:grid}.comparison-grid[data-astro-cid-vgl2f2gq] article[data-astro-cid-vgl2f2gq]{padding:clamp(1.5rem,3vw,2.4rem) clamp(1.5rem,4vw,3.5rem) clamp(1.5rem,3vw,2.4rem) 0}.comparison-grid[data-astro-cid-vgl2f2gq] article[data-astro-cid-vgl2f2gq]+article[data-astro-cid-vgl2f2gq]{border-left:1px solid 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li[data-astro-cid-vgl2f2gq]{border-top:1px solid var(--border);grid-template-columns:3.5rem 1fr;gap:1rem;padding:1.35rem 0;display:grid}.evaluation-steps[data-astro-cid-vgl2f2gq]>li[data-astro-cid-vgl2f2gq]>span[data-astro-cid-vgl2f2gq]{color:var(--teal-dark);letter-spacing:.1em;font-size:.7rem;font-weight:700}.evaluation-steps[data-astro-cid-vgl2f2gq] h3[data-astro-cid-vgl2f2gq]{margin-bottom:.35rem;font-size:1.28rem}.evaluation-steps[data-astro-cid-vgl2f2gq] p[data-astro-cid-vgl2f2gq]{color:var(--muted);margin:0}.factors-section[data-astro-cid-vgl2f2gq]{background:var(--white)}.factors-grid[data-astro-cid-vgl2f2gq] header[data-astro-cid-vgl2f2gq]{position:sticky;top:7rem}.factors-grid[data-astro-cid-vgl2f2gq] header[data-astro-cid-vgl2f2gq]>p[data-astro-cid-vgl2f2gq]:last-child{color:var(--muted);font-family:Georgia,Times New Roman,serif;font-size:1.15rem}.factor-list[data-astro-cid-vgl2f2gq]{border-top:1px solid var(--border)}.factor-list[data-astro-cid-vgl2f2gq] article[data-astro-cid-vgl2f2gq]{border-bottom:1px solid var(--border);grid-template-columns:minmax(12rem,4fr) minmax(0,6fr);gap:2rem;padding:1.35rem 0;display:grid}.factor-list[data-astro-cid-vgl2f2gq] h3[data-astro-cid-vgl2f2gq]{margin:0;font-size:1.22rem}.factor-list[data-astro-cid-vgl2f2gq] p[data-astro-cid-vgl2f2gq]{color:var(--muted);margin:0}.factor-note[data-astro-cid-vgl2f2gq]{color:var(--muted);margin:1.5rem 0 0;font-size:.84rem}.pathways-section[data-astro-cid-vgl2f2gq]{background:var(--ivory)}.pathways-heading[data-astro-cid-vgl2f2gq]{max-width:800px}.pathways-grid[data-astro-cid-vgl2f2gq]{border-top:1px solid var(--border);border-bottom:1px solid var(--border);grid-template-columns:repeat(3,minmax(0,1fr));display:grid}.pathways-grid[data-astro-cid-vgl2f2gq] article[data-astro-cid-vgl2f2gq]{padding:1.75rem clamp(1.25rem,3vw,2.5rem)}.pathways-grid[data-astro-cid-vgl2f2gq] article[data-astro-cid-vgl2f2gq]:first-child{padding-left:0}.pathways-grid[data-astro-cid-vgl2f2gq] article[data-astro-cid-vgl2f2gq]:last-child{padding-right:0}.pathways-grid[data-astro-cid-vgl2f2gq] article[data-astro-cid-vgl2f2gq]+article[data-astro-cid-vgl2f2gq]{border-left:1px solid var(--border)}.pathways-grid[data-astro-cid-vgl2f2gq] h3[data-astro-cid-vgl2f2gq]{font-size:1.28rem}.pathways-grid[data-astro-cid-vgl2f2gq] p[data-astro-cid-vgl2f2gq],.pathways-closing[data-astro-cid-vgl2f2gq]{color:var(--muted)}.pathways-closing[data-astro-cid-vgl2f2gq]{max-width:66ch;margin:1.5rem 0}.doctor-trust[data-astro-cid-vgl2f2gq]{background:var(--ink-deep);color:#d4e2df;padding-block:clamp(4rem,7vw,6.5rem)}.doctor-trust__grid[data-astro-cid-vgl2f2gq]{grid-template-columns:minmax(18rem,5fr) minmax(0,7fr);align-items:center;gap:clamp(2.5rem,7vw,7rem);display:grid}.doctor-trust[data-astro-cid-vgl2f2gq] figure[data-astro-cid-vgl2f2gq]{aspect-ratio:4/5;border-radius:18px;width:min(100%,32rem);margin:0;overflow:hidden}.doctor-trust[data-astro-cid-vgl2f2gq] figure[data-astro-cid-vgl2f2gq] 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0;font-family:Georgia,Times New Roman,serif;font-size:1.15rem;list-style:none;display:flex}.faq-list[data-astro-cid-vgl2f2gq] summary[data-astro-cid-vgl2f2gq]::-webkit-details-marker{display:none}.faq-list[data-astro-cid-vgl2f2gq] summary[data-astro-cid-vgl2f2gq] span[data-astro-cid-vgl2f2gq]{color:var(--teal);font-family:Arial,Helvetica,sans-serif;font-size:1.4rem;transition:transform .2s}.faq-list[data-astro-cid-vgl2f2gq] details[data-astro-cid-vgl2f2gq][open] summary[data-astro-cid-vgl2f2gq] span[data-astro-cid-vgl2f2gq]{transform:rotate(45deg)}.faq-list[data-astro-cid-vgl2f2gq] details[data-astro-cid-vgl2f2gq]>div[data-astro-cid-vgl2f2gq]{max-width:720px;color:var(--muted);padding:0 2rem 1.2rem 0}.faq-list[data-astro-cid-vgl2f2gq] details[data-astro-cid-vgl2f2gq] p[data-astro-cid-vgl2f2gq]{margin:0}.fistula-final-cta[data-astro-cid-vgl2f2gq]{background:var(--ink-deep);color:#d4e2df;text-align:center;padding-block:clamp(4rem,7vw,6rem)}.fistula-final-cta[data-astro-cid-vgl2f2gq] .container[data-astro-cid-vgl2f2gq]{--container-max:780px}.fistula-final-cta[data-astro-cid-vgl2f2gq] h2[data-astro-cid-vgl2f2gq]{color:var(--white)}.fistula-final-cta[data-astro-cid-vgl2f2gq] p[data-astro-cid-vgl2f2gq]:not(.eyebrow){max-width:680px;margin:0 auto 1.8rem}@media (width<=1000px){.fistula-hero__grid[data-astro-cid-vgl2f2gq]{grid-template-columns:minmax(21.25rem,1fr) minmax(17.5rem,.86fr);gap:2rem}.fistula-display[data-astro-cid-vgl2f2gq]{font-size:clamp(2.7rem,5.6vw,3.6rem)}.split-layout[data-astro-cid-vgl2f2gq],.factors-grid[data-astro-cid-vgl2f2gq],.definition-grid[data-astro-cid-vgl2f2gq],.evaluation-grid[data-astro-cid-vgl2f2gq],.locations-grid[data-astro-cid-vgl2f2gq]{gap:2.5rem}.pathways-grid[data-astro-cid-vgl2f2gq]{grid-template-columns:1fr 1fr}.pathways-grid[data-astro-cid-vgl2f2gq] article[data-astro-cid-vgl2f2gq]:nth-child(3){border-top:1px solid var(--border);border-left:0;grid-column:1/-1;padding-left:0}}@media (width<=760px){.condition-breadcrumb[data-astro-cid-vgl2f2gq]{display:none}.fistula-hero[data-astro-cid-vgl2f2gq]{padding-block:3.5rem}.fistula-hero__grid[data-astro-cid-vgl2f2gq],.split-layout[data-astro-cid-vgl2f2gq],.comparison-grid[data-astro-cid-vgl2f2gq],.definition-grid[data-astro-cid-vgl2f2gq],.evaluation-grid[data-astro-cid-vgl2f2gq],.factors-grid[data-astro-cid-vgl2f2gq],.doctor-trust__grid[data-astro-cid-vgl2f2gq],.locations-grid[data-astro-cid-vgl2f2gq]{grid-template-columns:1fr}.fistula-hero__copy[data-astro-cid-vgl2f2gq]{max-width:none}.fistula-display[data-astro-cid-vgl2f2gq]{max-width:12ch;font-size:clamp(2.5rem,10.5vw,3.25rem);line-height:1}.fistula-hero__media[data-astro-cid-vgl2f2gq]{width:min(100%,38rem)}.fistula-hero__media[data-astro-cid-vgl2f2gq] img[data-astro-cid-vgl2f2gq]{aspect-ratio:4/3}.symptom-list[data-astro-cid-vgl2f2gq]{grid-template-columns:1fr}.symptom-list[data-astro-cid-vgl2f2gq] 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