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The ligation of the intersphincteric fistula tract (LIFT) technique for simple and complex fistula-in-ano
Kumar, Manoj; Kumar, Manoj; Arora, Abhishek; Ranjan, Alok; Kant, Kumar Chandra; PP, Sreepriya.
  • Kumar, Manoj; All India Institute of Medical Sciences. Department of General Surgery. Patna. IN
  • Kumar, Manoj; All India Institute of Medical Sciences. Department of General Surgery. Patna. IN
  • Arora, Abhishek; All India Institute of Medical Sciences. Department of General Surgery. Patna. IN
  • Ranjan, Alok; All India Institute of Medical Sciences. Department of Community and Family Medicine. Patna. IN
  • Kant, Kumar Chandra; All India Institute of Medical Sciences. Department of General Surgery. Patna. IN
  • PP, Sreepriya; All India Institute of Medical Sciences. Department of General Surgery. Patna. IN
J. coloproctol. (Rio J., Impr.) ; 41(4): 406-410, Out.-Dec. 2021. tab, ilus
Article in English | LILACS | ID: biblio-1356446
ABSTRACT

Background:

Fistula-in-ano is one of the most common clinical condition encountered in a surgical outpatient department. Many treatment modalities have been described with variable outcomes but gold standard surgical treatment is yet to be agreed upon. The aim of the present study is to evaluate the treatment outcomes of ligature of intersphincteric fistula tract (LIFT) technique in the treatment of simple and complex fistula-in-ano with the primary objective of recurrence rate and broad objective of other postoperative complications during the period of study and after long-term follow-up.

Methods:

It is a retrospective study of prospectively collected data from the patients who havebeen operated for fistula-in-ano using the LIFT technique at our institute from February 2018 to March 2020 and followed-up until September 2020.

Results:

A total of 56 patients with fistula-in-ano were treated with the LIFT procedure during the study period, of which 20 patients had simple fistula and 36 had complex fistula. A success rate of 83% was obtained with completely healed fistulas in 46 patients. No patient developed postoperative incontinence.

Conclusion:

Ligature of intersphincteric fistula tract is an effective treatmentmodality for fistula-in-ano with less procedure-related morbidity, but it is associated with a higher recurrence rate in simple fistula than in complex fistula. (AU)
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Rectal Fistula Type of study: Observational study / Risk factors Limits: Female / Humans / Male Language: English Journal: J. coloproctol. (Rio J., Impr.) Journal subject: Cirurgia / Doen‡as Retais / Doen‡as do Colo / Gastroenterology / Cirurgia Year: 2021 Type: Article Affiliation country: India Institution/Affiliation country: All India Institute of Medical Sciences/IN

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Full text: Available Index: LILACS (Americas) Main subject: Rectal Fistula Type of study: Observational study / Risk factors Limits: Female / Humans / Male Language: English Journal: J. coloproctol. (Rio J., Impr.) Journal subject: Cirurgia / Doen‡as Retais / Doen‡as do Colo / Gastroenterology / Cirurgia Year: 2021 Type: Article Affiliation country: India Institution/Affiliation country: All India Institute of Medical Sciences/IN