Ligation of Intersphincteric Fistula Tract (LIFT) - A single centre experience for management of fistula-in-ano

Izwan Ismail, Nur Afdzillah, Abdul Rahman, Ismail Sagap

Research output: Contribution to journalArticle

Abstract

Background. Ligation of intersphincteric fistula tract (LIFT) is a new sphincter-preserving technique with good results and low risk of complications for management of fistula-in-ano. Objective.The aim of this study was to present our experience in LIFT procedure as a sphincter-preserving method in treatment of both simple and complex fistula-in-ano. Methods.We performed a retrospective study of patients with fistula-in-ano treated with ligation of the intersphincteric fistula tract technique from January 2010 to December 2015. Demographic data, the type of fistula, recurrence and postoperative complication were collected. Results.A total of 38 patients underwent ligation of intersphincteric fistula tract during the duration, mostly were male (n = 34, 89.5%). 22 (57.9%) patients were treated for intersphincteric fistula, 10 (26.3%) for transphincteric fistula and 6 (15.8%) for complex fistula. Successful fistula repair was achieved in 78.9% of patients with 8 patients (21.1%) had recurrence at follow up. No clinically significant complication was observed in any of the patients. None were reported to have incontinence either toflatus or faeces at 1 year follow up. Conclusion.The ligation of the intersphincteric fistula tract for fistula-in-ano is a promising sphincter-preserving technique which is both safe and easy to perform. This study demonstrates favorable long-term success of 78.9% in LIFT procedure for management of fistula-in-ano.

Original languageEnglish
Pages (from-to)59-61
Number of pages3
JournalSurgical Chronicles
Volume22
Issue number2
Publication statusPublished - 1 Apr 2017

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Fistula
Ligation
Recurrence
Risk Management
Feces
Retrospective Studies
Demography

Keywords

  • Anal fistula
  • Fistula-in-ano
  • LIFT
  • Ligation of intersphincteric fistula tract

ASJC Scopus subject areas

  • Surgery

Cite this

Ligation of Intersphincteric Fistula Tract (LIFT) - A single centre experience for management of fistula-in-ano. / Ismail, Izwan; Afdzillah, Nur; Rahman, Abdul; Sagap, Ismail.

In: Surgical Chronicles, Vol. 22, No. 2, 01.04.2017, p. 59-61.

Research output: Contribution to journalArticle

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abstract = "Background. Ligation of intersphincteric fistula tract (LIFT) is a new sphincter-preserving technique with good results and low risk of complications for management of fistula-in-ano. Objective.The aim of this study was to present our experience in LIFT procedure as a sphincter-preserving method in treatment of both simple and complex fistula-in-ano. Methods.We performed a retrospective study of patients with fistula-in-ano treated with ligation of the intersphincteric fistula tract technique from January 2010 to December 2015. Demographic data, the type of fistula, recurrence and postoperative complication were collected. Results.A total of 38 patients underwent ligation of intersphincteric fistula tract during the duration, mostly were male (n = 34, 89.5{\%}). 22 (57.9{\%}) patients were treated for intersphincteric fistula, 10 (26.3{\%}) for transphincteric fistula and 6 (15.8{\%}) for complex fistula. Successful fistula repair was achieved in 78.9{\%} of patients with 8 patients (21.1{\%}) had recurrence at follow up. No clinically significant complication was observed in any of the patients. None were reported to have incontinence either toflatus or faeces at 1 year follow up. Conclusion.The ligation of the intersphincteric fistula tract for fistula-in-ano is a promising sphincter-preserving technique which is both safe and easy to perform. This study demonstrates favorable long-term success of 78.9{\%} in LIFT procedure for management of fistula-in-ano.",
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N2 - Background. Ligation of intersphincteric fistula tract (LIFT) is a new sphincter-preserving technique with good results and low risk of complications for management of fistula-in-ano. Objective.The aim of this study was to present our experience in LIFT procedure as a sphincter-preserving method in treatment of both simple and complex fistula-in-ano. Methods.We performed a retrospective study of patients with fistula-in-ano treated with ligation of the intersphincteric fistula tract technique from January 2010 to December 2015. Demographic data, the type of fistula, recurrence and postoperative complication were collected. Results.A total of 38 patients underwent ligation of intersphincteric fistula tract during the duration, mostly were male (n = 34, 89.5%). 22 (57.9%) patients were treated for intersphincteric fistula, 10 (26.3%) for transphincteric fistula and 6 (15.8%) for complex fistula. Successful fistula repair was achieved in 78.9% of patients with 8 patients (21.1%) had recurrence at follow up. No clinically significant complication was observed in any of the patients. None were reported to have incontinence either toflatus or faeces at 1 year follow up. Conclusion.The ligation of the intersphincteric fistula tract for fistula-in-ano is a promising sphincter-preserving technique which is both safe and easy to perform. This study demonstrates favorable long-term success of 78.9% in LIFT procedure for management of fistula-in-ano.

AB - Background. Ligation of intersphincteric fistula tract (LIFT) is a new sphincter-preserving technique with good results and low risk of complications for management of fistula-in-ano. Objective.The aim of this study was to present our experience in LIFT procedure as a sphincter-preserving method in treatment of both simple and complex fistula-in-ano. Methods.We performed a retrospective study of patients with fistula-in-ano treated with ligation of the intersphincteric fistula tract technique from January 2010 to December 2015. Demographic data, the type of fistula, recurrence and postoperative complication were collected. Results.A total of 38 patients underwent ligation of intersphincteric fistula tract during the duration, mostly were male (n = 34, 89.5%). 22 (57.9%) patients were treated for intersphincteric fistula, 10 (26.3%) for transphincteric fistula and 6 (15.8%) for complex fistula. Successful fistula repair was achieved in 78.9% of patients with 8 patients (21.1%) had recurrence at follow up. No clinically significant complication was observed in any of the patients. None were reported to have incontinence either toflatus or faeces at 1 year follow up. Conclusion.The ligation of the intersphincteric fistula tract for fistula-in-ano is a promising sphincter-preserving technique which is both safe and easy to perform. This study demonstrates favorable long-term success of 78.9% in LIFT procedure for management of fistula-in-ano.

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