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- Title
Our experience with ligation of intersphincteric fistula tract (LIFT) for anal fistula.
- Authors
Khan, Farooq; Khalil, Jawad; Khan, Hajira Farooq
- Abstract
Objective: In this study we aimed to assess the results of LIFT (ligation of intersphincteric fistula tract) technique for patients with low anal fistula in our unit. Study design: Observational case-series. Place and duration of study: Department of General Surgery, Jinnah teaching hospital, Peshawar, for a period of 1 year from November 2015 to November 2016. Material and methods: A total of 78 patients with low anal fistulas were recruited for this study. All subjects underwent ligation of the intersphincteric fistula tract. Symptomatic relief and early post-operative complications were recorded. The patients were followed for 6 months. Outcome measures included presence of recurrence, fecal incontinence and surgical complications. Results: We enrolled 75 patients with a mean age of 40.5 (range 16-69) years, 20 of the patients had recurrent fistula and 55 were newly diagnosed. Mean follow-up was 6 months. Successful fistula repair was achieved in the 87.5% of the patients, 9 patients had failure at the follow-up. No incontinence was observed in any of the patients. Conclusion: Ligation of the intersphincteric tract is a novel sphincter preserving method for complex anal fistulas. As a simple, safe, cost-effective procedure with high success rates it could be candidate for being the gold standard method for complex anal fistulas.
- Subjects
ANAL fistula; ANAL diseases; FISTULA; HUMAN abnormalities; PROCTOLOGY; SURGERY
- Publication
Pakistan Journal of Surgery, 2018, Vol 34, Issue 1, p41
- ISSN
0258-8552
- Publication type
Article