Effectiveness of the ligation of intersphincteric fistula tract (LIFT) in the treatment of anal fistula: initial results

Tomiyoshi, Sérgio Danilo Tanahara; Santos, Carlos Henrique Marques dos

doi:10.1590/s0102-67202014000200004

Cited by 13 publications

(12 citation statements)

References 7 publications

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“…Study and patient characteristics are shown in Table S1 (supporting information) , . Five studies were RCTs, six were prospective cohort studies and 19 were retrospective cohort studies.…”

Section: Resultsmentioning

confidence: 99%

“…For primary and overall success rates, all but three studies evaluated closure of the external fistula opening with or without the closure of the internal opening and intersphincteric wound after the LIFT procedure. The success rates of the other three studies , were assessed by patient‐reported symptoms only. Recurrence of the initial fistula tract without transformation to an intersphincteric tract after the LIFT procedure was assessed in six studies , , .…”

Section: Resultsmentioning

confidence: 99%

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Systematic review and meta‐analysis of endorectal advancement flap and ligation of the intersphincteric fistula tract for cryptoglandular and Crohn's high perianal fistulas

et al. 2019

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Background High perianal fistulas require sphincter‐preserving surgery because of the risk of faecal incontinence. The ligation of the intersphincteric fistula tract (LIFT) procedure preserves anal sphincter function and is an alternative to the endorectal advancement flap (AF). The aim of this study was to evaluate outcomes of these procedures in patients with cryptoglandular and Crohn's perianal fistulas. Methods A systematic literature search was performed using MEDLINE, Embase and the Cochrane Library. All RCTs, cohort studies and case series (more than 5 patients) describing one or both techniques were included. Main outcomes were overall success rate, recurrence and incontinence following either technique. A proportional meta‐analysis was performed using a random‐effects model. Results Some 30 studies comprising 1295 patients were included (AF, 797; LIFT, 498). For cryptoglandular fistula (1098 patients), there was no significant difference between AF and LIFT for weighted overall success (74·6 (95 per cent c.i. 65·6 to 83·7) versus 69·1 (53·9 to 84·3) per cent respectively) and recurrence (25·6 (4·7 to 46·4) versus 21·9 (14·8 to 29·0) per cent) rates. For Crohn's perianal fistula (64 patients), no significant differences were observed between AF and LIFT for overall success rate (61 (45 to 76) versus 53 per cent respectively), but data on recurrence were limited. Incontinence rates were significantly higher after AF compared with LIFT (7·8 (3·3 to 12·4) versus 1·6 (0·4 to 2·8) per cent). Conclusion Overall success and recurrence rates were not significantly different between the AF and LIFT procedure, but continence was better preserved after LIFT.

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“…Study and patient characteristics are shown in Table S1 (supporting information) , . Five studies were RCTs, six were prospective cohort studies and 19 were retrospective cohort studies.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Systematic review and meta‐analysis of endorectal advancement flap and ligation of the intersphincteric fistula tract for cryptoglandular and Crohn's high perianal fistulas

et al. 2019

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“…9 It aimed to evaluate the effectiveness of the interesphincteric ligation technique of the fistulous tract in the treatment of anal fistula. The records of eight patients who underwent this technique, evaluating age, gender and presence of incontinence were studied.…”

Section: Discussionmentioning

confidence: 99%

Fistula in ano: open method compared to lift method ligation of intersphincteric fistula track

Potula

2017

Int Surg J

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Background: To compare fistula in ano open method with lift method ligation of intersphincteric fistula track.Methods: This is a prospective study which consisted of 70 patients suffering from fistula-in-ano who were admitted to surgery department. All patients above 18 years of age, cases of transsphincteric low anal fistula, maturation of tract were included in the study. Results: In this study, 60 patients were included totally, of which, 10 patients were excluded as 5 patients had tuberculosis, 2 had Crohn's disease and 3 were excluded as they lost follow up. Hence, 50 patients were included in the study. 40 were males and 10 were females with a male to female ratio of 4:1 in this study. The average age of fistula in ano was 45.34±10.39 years. The incidence of fistula in ano was maximum in the age group of 46-55 years. The minimum incidence was in the age < 30 years. The most common primary fistula is intersphincteric track (46%), followed by transsphincteric track (42%). The most common type of fistula in ano patients was discharge from the tract which was in all patients, in others, perianal pain and bleeding was observed. Fistula in ano can be divided into low and high level of fistula. High level of fistula-in-ano was found in 64 % of patients and low level of fistula-in-ano was found in 36% of patients. Recurrence was seen in 6 patients with high suprasphincteric track who were ligated below the internal opening and 10 patients had a recurrence with transsphincteric track of which 6 were obese which made identifying the fistula track difficult. Conclusions: The LIFT procedure is advantageous as no chance of incontinence prevails as the infective focus is removed without dividing any part of sphincter complex, other advantages are that it is easy to learn, perform, safe, high healing rate, low morbidity and easily treat fistula in ano at primary health care level.

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“…1 The treatment of anal fistula is mainly surgical to eliminate the fistula prevent recurrence and preserve anal continence however among the various alternatives for the treatment of anal fistula none is consider as a treatment of choice due to their recurrence rate and incontinence. 2 The goal of surgical management is to effectively eradicate current and recurrent septic foci, associated epithelised tracts and preserve continence. No single technique achieves these aims for alterations anal fistulas.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2019

MIJOSUR

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Background:The treatment of anal fistula is mainly surgical to eliminate the fistula prevent recurrence and preserve anal continence. LIFT (Ligation of intersphincteric fistula track) is an advanced technique for saving the anal sphincter during fistulectomy. Aim: To compare postoperative complications of fistula in Ano managed with open fistulectomy and LIFT method. Material and Methods: A total of 60 patients of fistulainAno with single internal opening were included in the study. 30 cases were treated by LIFT technique and 30 cases were treated by fistulectomy. Outcome of the patient was measured in terms of pain (VAS Score), hospital stay, incontinence, wound infection and recurrence. Results: There was less pain in post-operative period which was significantly lower than fistulectomy at post-operative day 3 (P<0.0001) and at day of discharge (P=0.035). Hospital stay was significant less for LIFT group of patients than fistulectomy (P=0.008). No incontinence in case of LIFT group than conventional fistulectomy where one case had incontinence. Complications like postoperative infection were found in 2 cases in both groups, which was statistically not significant. Conclusion: The LIFT method of fistula in Ano is more beneficial in cases of low lying transphincteric group of tracts with single internal and external opening in terms of hospital stay pain and operative time required

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Effectiveness of the ligation of intersphincteric fistula tract (LIFT) in the treatment of anal fistula: initial results

Cited by 13 publications

References 7 publications

Systematic review and meta‐analysis of endorectal advancement flap and ligation of the intersphincteric fistula tract for cryptoglandular and Crohn's high perianal fistulas

Systematic review and meta‐analysis of endorectal advancement flap and ligation of the intersphincteric fistula tract for cryptoglandular and Crohn's high perianal fistulas

Fistula in ano: open method compared to lift method ligation of intersphincteric fistula track

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