Effective and long-term outcome following ligation of the intersphincteric fistula tract (LIFT) for transsphincteric fistula.
Int J Colorectal Dis
; 32(4): 583-585, 2017 Apr.
Article
en En
| MEDLINE
| ID: mdl-27878618
ABSTRACT
OBJECTIVE:
The purpose of this study was to evaluate the efficacy and long-term outcome of the ligation of the intersphincteric fistula tract (LIFT) procedure for transsphincteric fistula-in-ano.METHODS:
A total of 43 patients that were treated with LIFT procedure and had a follow-up time of more than 1 year were included.RESULTS:
The median age was 37.18 years, and 32 (74.4%) of the patients were male. The median follow-up time was 26.2 months (range 13-63 months). There were 29 (67.4%) uncomplicated transsphincteric fistulas, 10 (23.3%) horseshoe transsphincteric fistulas, and 4 (9.3%) multiple fistulas. Eight (18.5%) patients presented with dehiscence or infection at the intersphincteric wound and were successfully treated with either laying open (n = 5) or local application of silver nitrate (n = 3). The success rate, as determined from the last follow-up time point, was 83.7% (36/43). The mean time to complete failure was 8.6 weeks (range 1-28) in 7 patients. With the exception of these 7 patients, 32/36 (88.9%) patients had a Cleveland Clinic Florida Faecal incontinence score of 0, 3 patients had a score of 1, and 1 had a score of 2. No significant association was found between laying open and incontinence in these partial failure patients.CONCLUSION:
The LIFT procedure can be considered an effective sphincter-sparing procedure in the management of transsphincteric fistula with an acceptable long-term outcome.Palabras clave
Texto completo:
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Bases de datos:
MEDLINE
Asunto principal:
Canal Anal
/
Fístula Rectal
Límite:
Adult
/
Female
/
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Int J Colorectal Dis
Asunto de la revista:
GASTROENTEROLOGIA
Año:
2017
Tipo del documento:
Article
País de afiliación:
China