Context:The surgical management of fistula-in-ano is still debatable and no clear recommendations have been made available until now. The present study analyses the results of ligation of intersphincteric fistula tract (LIFT) technique in treating fistula-in-ano in particular with recurrence, healing time, and continence status.Aims:LIFT in the management of patients of fistula-in-ano of cryptoglandular origin.Settings and Design:Prospective study.Materials and Methods:This is a prospective study of 52 patients admitted from September 2012 to August 2014. Patients were managed with LIFT technique and results of LIFT technique were compared with other studies in terms of recurrence rate, incontinence rate, and other postoperative complications.Results:A total of 52 patients were studied. Median follow-up was 24 weeks. Primary healing was achieved in 32 (71.11%) patients. Thirteen patients (28.88%) had a recurrence. No patient reported any subjective decrease incontinence after the procedure.Conclusions:LIFT technique is simple and easy to learn. With this method fistula-in-ano could be easily treated even at primary health care level. LIFT technique is a simple and novel modified approach for the treatment of fistula-in-ano with rapid healing rate and without any resultant incontinence.
The fistula in ano is commonly encountered problem in surgery and the treatment of complex fistula in ano poses a nightmare for the surgeons as there is no single technique appropriate for its treatment. The objective of this study was to determine the effectiveness of various surgical treatments in terms of recurrence and in continence. In this prospective study, total 35 patients of complex fistula in ano were treated with different surgical techniques from June 2011 to July 2013 and recorded incidence of recurrence and incontinence as follows. There was no recurrence in the patients treated with fistulotomy and cutting seton alone. But recurrence rate of 25%, 10%and 8.33% were recorded in fistulectomy, staged fistulotomy and fistulectomy with cutting seton respectively. The major and minor incontinence also occurred as follows, in fistulotomy 14.29% & 42.87%, in fistulectomy 25% & 50%, staged fistulotomy 0% & 30%, fistulectomy with cutting seton 8.33% & 16.66% but patients treated with cutting seton alone developed no incontinence.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.