Interesfincterial Ligation of Fistula Tract (Lift) for Patients With Anal Fistulas: A Brazilian Bi-Institutional Experience

Araújo, Sérgio Eduardo Alonso; Marcante, Marcelli Tainah; Mendes, Carlos Ramon Siveira; Bertoncini, Alexandre Bruno; Seid, Víctor Edmond; Horcel, Lucas Araujo; Perez, Rodrigo Oliva; Klajner, Sidney

doi:10.1590/0102-6720201700040002

Cited by 12 publications

(14 citation statements)

References 26 publications

(40 reference statements)

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“…In these patients LIFT seems a promising option because there is negligible trauma to the sphincter and the present study only included patients with complex fistula. The fistulas for which LIFT has been done in most of the series are also complex fistula 4,5,[8][9][10][11][12][13][14] .…”

Section: Discussionmentioning

confidence: 99%

“…Surgical treatment is the only way to cure a perianal fistula. The aim of surgery in anal fistula is to eradicate infection and promote healing, whilst preserving anal sphincter complex and full continence 5 . Until now most of the fistulas were treated by fistulotomy or fistulectomy, which have both proven to be effective, however, even for simple fistulas, they may result in some degree of incontinence in approximately 12-39% of patient, need prolonged time for healing and associated with progressive scarring and anal deformity [6][7][8] .…”

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confidence: 99%

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Ligation of the Intersphincteric Fistula Tract (LIFT) Technique in the Treatment of Complex Perianal Fistula: Experience of First 50 Cases

Biswas¹,

Rahman²,

Hossain³

et al. 2020

Faridpur Med Coll J

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Perianal fistula is a common disease and surgery is the only treatment option. Many surgical techniques have been described. Ligation of intersphincteric fistula tract (LIFT) is a sphincter saving surgical technique in which fistula tract is ligated and excised through intersphincteric approach. The aim of study is to present our experience of first 50 LIFT procedures particularly healing rate, recurrence rate and complications from the procedure. This is a prospective observational study started from March 2018 on whom underwent LIFT procedure for primary complex perianal fistula of infective origin at Faridpur Central Hospital and Faridpur Medical College Hospital. In this study, 50 patients (42 male and 8 female) of average age of 39±7.6 years with complex fistula were included. The mean operative time was 34.7±5.67 minutes and most of the fistulas were transsphincteric variety (90%). Median wound healing time was 21.45±6.34 days for intersphincteric wound and 26.78±6.93 days for the external opening of the fistula. Mean follow up period was 10.5 months. Seven patients of our series developed recurrent fistula, making the overall success of 86%. None of the patient in our series developed incontinence. LIFT procedure has the advantage of preservation of anal sphincter, minimal tissue injury, shorter healing time, relatively easy to perform, and high success rate. It's a good choice for treatment of complex perianal fistula. Faridpur Med. Coll. J. Jan 2020;15(1): 3-7

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Ligation of the Intersphincteric Fistula Tract (LIFT) Technique in the Treatment of Complex Perianal Fistula: Experience of First 50 Cases

Biswas¹,

Rahman²,

Hossain³

et al. 2020

Faridpur Med Coll J

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“…Some authors suggested the use of drainage before the LIFT procedure as an effective remedy for failure after surgery, although this was not mentioned in the original descriptive publication. But studies show that previous use of drainage before LIFT did not affect the performance indicators and in analyzing the combined data of four studies of patients undergoing LIFT with preoperative drainage and without it, no significant difference was observed with the previous drainage [21,22]. Nevertheless, the results presented should be interpreted with caution since in some cases the initial design of the study was not aimed at studying or comparing the results of patients with or without drainage.…”

Section: Tablementioning

confidence: 92%

Comparison of Modified Method of Ligation of Intersphincteric Fistula Tract (Lift) and Standard Operations in Patients With Transsphincteric Rectal Fistulas

Кryvoruchko¹,

Firsyk²,

Bozhko³

2019

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Background. The search for and development of new minimally invasive methods for the surgical treatment of anal fistulas is a relevant area of surgery. Such methods combine less traumatization and preservation of the sphincter's complex. Employment of such methods for surgical treatment of anal fistulas reduced the time of stay of patients in the hospital and improved their quality of life. Subjects and methods. A retro-and prospective study involved 58 patients with uncomplicated transsphincteric anal fistulas. All patients were treated in the hospital from January 2014 to April 2019. The patients were divided into two groups: the first group included 32 patients who were operated on according to the standard procedure using fistulotomy and Seton procedure; the second group consisted of 26 patients who were operated on using the modified LIFT method. Results. Most of these patients (72.4%) were men at the age of 42.53 6.79. The median of BMI was 25.7 kg/m2. There wasn't mortality after operations. The median follow-up was 21 (6-48) weeks. In the first group there were 3 cases (9.3%) of anal sphincter insufficiency and 7 cases of recurrent fistulas (21.9%) at different times after surgery. In the second group there were no anal sphincter failure following administration of the modified method LIFT, but there were 15.4% of recurrent anal fistulas. Conclusion. The proposed modified method of ligation of intersphincteric fistula tract is an effective method for the treatment of anal fistulas. The results obtained suggest that the developed method can be used to treat other types of anal fistulas.

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“…7 Una de estas técnicas preservadoras del esfínter anal para el tratamiento de fístulas complejas es la ligadura del trayecto interesfintérico (LIFT por sus siglas en inglés), que fue descrita por primera vez por Rojanasakul y colaboradores en el año 2007, principalmente para el tratamiento de las fístulas transesfintéricas altas. [8][9][10][11][12] Estos autores plantearon el cierre del orificio primario (interno) para evitar que las partículas de materia fecal entraran en el trayecto de la fístula y la ligadura del trayecto interesfintérico, para así eliminar el foco séptico. Las contraindicaciones para realizar esta técnica incluyen abscesos anorrectales asociados al trayecto, enfermedad inflamatoria intestinal activa y fístulas relacionadas a malignidad.…”

Section: Introductionunclassified

Ligadura interesfintérica de trayecto fistuloso como tratamiento de fístula anorrectal compleja

Cosme-Reyes¹,

Güemes-Quinto²,

Luján-Mendoza³

2020

Cirujano General

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Interesfincterial Ligation of Fistula Tract (Lift) for Patients With Anal Fistulas: A Brazilian Bi-Institutional Experience

Cited by 12 publications

References 26 publications

Ligation of the Intersphincteric Fistula Tract (LIFT) Technique in the Treatment of Complex Perianal Fistula: Experience of First 50 Cases

Ligation of the Intersphincteric Fistula Tract (LIFT) Technique in the Treatment of Complex Perianal Fistula: Experience of First 50 Cases

Comparison of Modified Method of Ligation of Intersphincteric Fistula Tract (Lift) and Standard Operations in Patients With Transsphincteric Rectal Fistulas

Ligadura interesfintérica de trayecto fistuloso como tratamiento de fístula anorrectal compleja

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