Title: Outcome of the Ligation of Intersphincteric Fistula Tract (LIFT) in the Treatment of Anal Fistula: Initial Results
Authors: Dr Sukesh Kumar, Dr M.M. Haque, Dr Ashraf Ali, Dr Saumya Sinha, Dr Shashank
DOI: https://dx.doi.org/10.18535/jmscr/v8i7.79
Abstract
Background: The abscesses and anal fistulas represent about 70% of perianal suppuration, is represented by abscesses & anal fistulas and has 5% of queries in coloproctology. Its incidence is 1/1000inhabitants per year.
Aims: To assess the interesphincteric ligation technique of the fistulous tract in the treatment of anal fistula.
Methods: The records of 16 patients who underwent this technique, evaluating age, gender and presence of incontinence were studied.
Results: 4 patients were men and 12 women. The mean age was 42.8 years. Of these, 7 (87.5%) had complete healing of the fistula; 6 were cured only with this procedure and 1 required additional operation with simple fistulotomy. Only 1 patient developed fecal incontinence which was documented by anorectal manometry. There were no deaths.
Conclusion: the interesphincteric ligation technique of the fistulous tract proved to be effective for the treatment of anal fistula and has eventual fecal incontinence.
Keywords: Anal fistula, Fecal incontinence, Surgery.
References
- Vergara - Fernandes O, Espino - Urbina LA. Ligation of intersphincteric fistula tract: What is the evidence in a review? World J Gastroenterol. 2013 Oct 28;19(40):6805–6813. [PMC free article] [PubMed]
- Whiteford MH, Kilkenny J III, Hyman N, Buie WD, Cohen J, Orsay C, et al. Practice parameters for the treatment of perianal abscess and fistula-in-ano (revised) Dis Colon Rectum. 2005;48:1337–1342. [PubMed]
- Huda T, Ashok M. Lift Technique for Fistula in ANO with Redefined Criteria - A Step towards Better Outcome. IOSR Journal. 2013 Nov-Dec;Volume 11(Issue 1):PP 61–PP 63.
- Meinero P, Mori L. Video-assisted anal fistula treatment (VAAFT): a novel sphincter-saving procedure for treating complex anal fistulas. Tech Coloproctol. 2011 Dec;15(4):417–422. [PMC free article] [PubMed]
- Rojanasakul A, Pattanaarun J, Sahakitrungruang C, Tantiphlachiva K. Total anal sphincter saving technique for fistula- in- ano; the ligation of intersphincteric fistula tract. J Med Assoc Thai. 2007 Mar;90(3):581–586. [PubMed]
- Rojanasakul A. LIFT Procedure: a simplified technique for fistula in ano. Tech coloproctol. 2009 2009 Sep 28;Jul.13(3):237–240. [PubMed]
- Sileri P, et al. Ligation of the intersphincteric fistula tract (LIFT) to treat anal fistula: early results from a prospective observational study. Tech Coloproctol. 2011;15(4):413–416. [PubMed]
- Makhlouf G., Korany M. LIFT TECHNIQUE FOR FISTULA-IN-ANO. Egyptian Journal of Surgery. 2013 Jan; 32(No. 1):32–36.