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CC BY-NC-ND 4.0 · Journal of Coloproctology 2021; 41(04): 406-410
DOI: 10.1055/s-0041-1736644
Original Article

The Ligation of the Intersphincteric Fistula Tract (LIFT) Technique for Simple and Complex Fistula-in-ano

Manoj Kumar 
1   Department of General Surgery, All India Institute of Medical Sciences, Patna, Bihar, India
,
Manoj Kumar 
1   Department of General Surgery, All India Institute of Medical Sciences, Patna, Bihar, India
,
Abhishek Arora 
1   Department of General Surgery, All India Institute of Medical Sciences, Patna, Bihar, India
,
Alok Ranjan 
2   Department of Community and Family Medicine, All India Institute of Medical Sciences, Patna, Bihar, India
,
Kumar Chandra Kant 
1   Department of General Surgery, All India Institute of Medical Sciences, Patna, Bihar, India
,
Sreepriya PP 
1   Department of General Surgery, All India Institute of Medical Sciences, Patna, Bihar, India
› Author Affiliations Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
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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 have been 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 treatment modality 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.

Keywords

fistula-in-ano - complex - intersphincteric - ligation - recurrence


Publication History

Received: 02 November 2020

Accepted: 15 June 2021

Article published online:
13 December 2021

© 2021. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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