Systematic review of efficacy of LIFT procedure in crpytoglandular fistula-in-ano

Murugesan, Jothi Rajasekaran; Mor, Isabella; Fulham, Stephen; Hitos, Kerry

doi:10.1016/j.jcol.2014.02.008

Cited by 19 publications

(10 citation statements)

References 36 publications

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“…Our result is similar to the finding of Abcarian et al and shows that healing rates are better for patients who have underwent less than two previous operations (60% healing rate) versus those who had underwent 2 or more operations before undergoing LIFT (36% healing rate) at end of follow-up (median, 16 months). Murugesan et al [ 10 ] have provided a narrative synthesis of the findings from the 22 studies; no incontinence or change in continence were reported in 18/21 studies analyzed. In this retrospective study, two incontinences were observed, including gas and fecal incontinence.…”

Section: Discussionmentioning

confidence: 99%

Ligation of Intersphincteric Fistula Tract Is Suitable for Recurrent Anal Fistulas from Follow-Up of 16 Months

Tang

2017

BioMed Research International

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Since 2007, ligation of the intersphincteric fistula tract (LIFT) for the management of anal fistula was all introduced with initial success and excitement. It remains controversial which surgical procedure is suitable for transsphincteric fistula, especially to complex anal fistula. This retrospective study was designed to evaluate the results in patients with recurrent anal fistula by LIFT. A retrospective study of 55 complex fistula patients who underwent LIFT procedure in a single medical center was analyzed. Patients and fistula characteristics, complications, and recurrences were reviewed. All 55 patients underwent the procedure with a median follow-up of 16 months. Median operative time was 44 (range 23–88) minutes. Of the 55 patients, 33 (60%) healed completely and did not require any further surgical treatment at end of follow-up. Twenty-two (40%) recurrences and six complications were observed. Compared with patients who had undergone more than two surgical procedures, LIFT was more suitable for patients who had undergone one to two surgical procedures, and significant difference was observed in number of operations before LIFT (p = 0.002). Clinicians can consider the use of LIFT for the treatment of recurrent anal fistulas. A larger number of patients and prospective study are needed to be performed.

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Section: Discussionmentioning

confidence: 99%

Ligation of Intersphincteric Fistula Tract Is Suitable for Recurrent Anal Fistulas from Follow-Up of 16 Months

Tang

2017

BioMed Research International

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“…18 The criteria determining success or failure of surgery are incidence of recurrence or incontinence. 19 In present study 16 patients were treated for fistula in ano. The commonest age group of presentation was third and fourth decade of life, Khalid et al observed a high incidence in third and fourth decades which is comparable to present study.…”

Section: Discussionmentioning

confidence: 91%

Effectiveness of ligation of intersphincteric fistula tract (LIFT) in the management of fistulas in ano

Rohit

Jain²,

Pandey

2017

Int Surg J

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Background: Fistula in ano is an abnormal connection between the epithelized surface of anal canal and usually the perianal skin. It is a benign treatable lesion of rectum and anal canal. Crypto glandular infection accounts for about ninety percent of the cases. The estimated prevalence of an anal fistula is 12 to 28/1000000 of the population per year with male to female ratio 1.8:1. Ligation of intersphincteric fistula tract is a new sphincter saving method with good result in the management of anal fistula. The aim of study was to evaluate the effectiveness and functional outcomes of the ligation of intersphinteric fistula tract (LIFT).Methods: This prospective study includes sixteen patients who were operated for fistulas in ano at Bundelkhand Medical College and Associated Hospital, Sagar from January 2015 to June 2017. Patients above the age of 20 years, proved cases of fistulas in ano without co-morbid conditions and no previous surgical intervention were included in the study. Patients presenting with fistulas from another source such as crohn’s disease, tuberculosis, anal cancer and recurrent fistulas were excluded. A detailed history, clinical presentation, digital rectal examination, anal ultrasound and routine investigations were done in all cases.Results: In the present study most of the patients were male and presents with perianal discharge. The diagnosis is made by clinical history, per rectal examination and anal ultrasonography. All the sixteen patients with fistula in ano underwent ligation of intersphincteric fistula tract (LIFT). The patients were followed for a period of three months. Most of the cases (87.5%) healed within 4-6 weeks. The recurrence of fistula occurs in four cases (25%). Recurrence is due to infection and technical error in the procedures. There were no deaths in the study.Conclusions: The LIFT technique proved to be safe and effective in the treatment of fistula in ano.

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“…Han et al 26 described short-term results for their use of a bioprosthetic plug (LIFT-PLUG) in 21 patients, following up their patients for a median of 14 months (12)(13)(14)(15). This involved the insertion of a bioprosthetic anal plug within the fistula tract.…”

Section: Complicationsmentioning

confidence: 99%

The LIFT procedure

Koh

Tsang

2014

Seminars in Colon and Rectal Surgery

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Systematic review of efficacy of LIFT procedure in crpytoglandular fistula-in-ano

Cited by 19 publications

References 36 publications

Ligation of Intersphincteric Fistula Tract Is Suitable for Recurrent Anal Fistulas from Follow-Up of 16 Months

Ligation of Intersphincteric Fistula Tract Is Suitable for Recurrent Anal Fistulas from Follow-Up of 16 Months

Effectiveness of ligation of intersphincteric fistula tract (LIFT) in the management of fistulas in ano

The LIFT procedure

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