Ligation of the intersphincteric fistula tract (LIFT): a sphincter-saving technique for fistula-in-ano

PURPOSE: This study was designed to assess the total anal sphincter–saving technique of ligating the intersphincteric fistula tract for the treatment of fistulain-ano. METHODS: We performed a prospective observational study of patients with fistula-in-ano treated with the ligation of the intersphin...

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Main Authors:	Mohamed Sidek , Ahmad Shanwani, Md Nor, Azmi, Mohamed Kamil, Nil Amri
Format:	Article
Language:	English
Published:	Springer Verlag 2010
Subjects:	RD Surgery
Online Access:	http://irep.iium.edu.my/14771/ http://irep.iium.edu.my/14771/ http://irep.iium.edu.my/14771/ http://irep.iium.edu.my/14771/1/Ligation_of_the_Intersphincteric_Fistula_Tract_%28LIFT.pdf

id	iium-14771
recordtype	eprints
spelling	iium-147712012-01-05T06:22:56Z http://irep.iium.edu.my/14771/ Ligation of the intersphincteric fistula tract (LIFT): a sphincter-saving technique for fistula-in-ano Mohamed Sidek , Ahmad Shanwani Md Nor, Azmi Mohamed Kamil, Nil Amri RD Surgery PURPOSE: This study was designed to assess the total anal sphincter–saving technique of ligating the intersphincteric fistula tract for the treatment of fistulain-ano. METHODS: We performed a prospective observational study of patients with fistula-in-ano treated with the ligation of the intersphincteric fistula tract technique from May 2007 through September 2008. All patients had fistulas arising from cryptoglandular infections. Recurrence rate, healing time, and morbidities related to the procedure were determined with a standard followup protocol. RESULTS: Forty-five patients with transsphincteric (n � 33) or complex (n � 12) fistulas were included in the study. Five patients (11.1%) had recurrent fistula-in-ano after prior surgery using other recognized treatment procedures. The median age was 41.5 (range, 27–56) years; median follow-up, 9 (range, 2–16) months. Primary healing was achieved in 37 patients (82.2%), with a median healing time of 7 (range, 4–10) weeks. Eight patients (17.7%) had recurrence of fistula between 3 and 8 months after the operation. No clinically significant morbidity was noted in any of the 45 patients. CONCLUSIONS: The ligation of the intersphincteric fistula tract technique for fistula-in-ano surgery, which aims at total anal sphincter preservation, appears to be both safe and easy to perform, with encouraging early outcomes. Springer Verlag 2010 Article PeerReviewed application/pdf en http://irep.iium.edu.my/14771/1/Ligation_of_the_Intersphincteric_Fistula_Tract_%28LIFT.pdf Mohamed Sidek , Ahmad Shanwani and Md Nor, Azmi and Mohamed Kamil, Nil Amri (2010) Ligation of the intersphincteric fistula tract (LIFT): a sphincter-saving technique for fistula-in-ano. Diseases of the Colon & Rectum, 53 (1). pp. 39-42. ISSN 0012-3706 (P), 1530-0358 (O) http://dx.doi.org/10.1007/DCR.0b013e3181c160c4 doi:10.1007/DCR.0b013e3181c160c4
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD Surgery
spellingShingle	RD Surgery Mohamed Sidek , Ahmad Shanwani Md Nor, Azmi Mohamed Kamil, Nil Amri Ligation of the intersphincteric fistula tract (LIFT): a sphincter-saving technique for fistula-in-ano
description	PURPOSE: This study was designed to assess the total anal sphincter–saving technique of ligating the intersphincteric fistula tract for the treatment of fistulain-ano. METHODS: We performed a prospective observational study of patients with fistula-in-ano treated with the ligation of the intersphincteric fistula tract technique from May 2007 through September 2008. All patients had fistulas arising from cryptoglandular infections. Recurrence rate, healing time, and morbidities related to the procedure were determined with a standard followup protocol. RESULTS: Forty-five patients with transsphincteric (n � 33) or complex (n � 12) fistulas were included in the study. Five patients (11.1%) had recurrent fistula-in-ano after prior surgery using other recognized treatment procedures. The median age was 41.5 (range, 27–56) years; median follow-up, 9 (range, 2–16) months. Primary healing was achieved in 37 patients (82.2%), with a median healing time of 7 (range, 4–10) weeks. Eight patients (17.7%) had recurrence of fistula between 3 and 8 months after the operation. No clinically significant morbidity was noted in any of the 45 patients. CONCLUSIONS: The ligation of the intersphincteric fistula tract technique for fistula-in-ano surgery, which aims at total anal sphincter preservation, appears to be both safe and easy to perform, with encouraging early outcomes.
format	Article
author	Mohamed Sidek , Ahmad Shanwani Md Nor, Azmi Mohamed Kamil, Nil Amri
author_facet	Mohamed Sidek , Ahmad Shanwani Md Nor, Azmi Mohamed Kamil, Nil Amri
author_sort	Mohamed Sidek , Ahmad Shanwani
title	Ligation of the intersphincteric fistula tract (LIFT): a sphincter-saving technique for fistula-in-ano
title_short	Ligation of the intersphincteric fistula tract (LIFT): a sphincter-saving technique for fistula-in-ano
title_full	Ligation of the intersphincteric fistula tract (LIFT): a sphincter-saving technique for fistula-in-ano
title_fullStr	Ligation of the intersphincteric fistula tract (LIFT): a sphincter-saving technique for fistula-in-ano
title_full_unstemmed	Ligation of the intersphincteric fistula tract (LIFT): a sphincter-saving technique for fistula-in-ano
title_sort	ligation of the intersphincteric fistula tract (lift): a sphincter-saving technique for fistula-in-ano
publisher	Springer Verlag
publishDate	2010
url	http://irep.iium.edu.my/14771/ http://irep.iium.edu.my/14771/ http://irep.iium.edu.my/14771/ http://irep.iium.edu.my/14771/1/Ligation_of_the_Intersphincteric_Fistula_Tract_%28LIFT.pdf
first_indexed	2023-09-18T20:23:55Z
last_indexed	2023-09-18T20:23:55Z
_version_	1777408289768734720

Ligation of the intersphincteric fistula tract (LIFT): a sphincter-saving technique for fistula-in-ano

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