A comparative study of Ligation of Intesphincteric Fistula Tract versus conventional fistulectomy in management of low fistula in ano: a randomized control trial

Goudar, Bhimanagouda V.; Dakhani, Nawaz M.

doi:10.18203/2349-2902.isj20205890

Cited by 2 publications

(4 citation statements)

References 30 publications

(47 reference statements)

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“…In the case of LIFT, almost 73.3% of patients were returned to their routine chores early while this percentage was 10% in the case of fistulectomy. Similar results were observed in a study conducted by Goudar in 2020 where meaning healing time for LIFT was 2.9 weeks 20 .…”

Section: Discussionsupporting

confidence: 90%

“…In our study, most patients had the follow-up over the period of three months during which not a single case of recurrence was reported in either group. However, in a study conducted by Goudar, late recurrence was seen in two completely healed patients at the same sites as the original site in LIFT at follow-up of 10 and 12 weeks 20 . SK Biswas reported seven patients who developed recurrent fistula after LIFT 16 .…”

Section: Discussionmentioning

confidence: 91%

“…The study conducted by Olfat et al also reported no case of faecal incontinence 21 . Goudar also reported no case of faecal incontinence after the LIFT procedure 20 .…”

Section: Discussionmentioning

confidence: 97%

“…In our study, the maximum cases were reported within the age range of 41 to 50 years. A randomized control trial was conducted by Goudar in Karnataka India, with 60 patients with a mean age of 44.17 for LIFT and 41.1 years for fistulectomy 14 , however, that study was conducted over the period of one year rather than three years, and no age range was specified.…”

Section: Discussionmentioning

confidence: 99%

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LIFT vs Fistulectomy: A Retrospective Cohort Study

Malik¹,

Nadeem²,

Aslam³

2022

PJMHS

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Background: Fistula-in-ano is defined as an epithelized abnormal tract connecting two surfaces; usually the rectal mucosa and perianal skin. The primary treatment for fistula is surgery for which many options are available. However, in this article, we will be discussing the comparison between LIFT and fistulectomy. Aim: To compare a conventional invasive technique of fistulectomy with a newly introduced minimally invasive LIFT procedure in terms of operative time, hospital stay, postoperative complications, and follow-up. Methods: A retrospective view of 135 patients was done who were operated on either by LIFT (n=59) (Group L) or fistulectomy (n=76) (Group F) over the period of three years and a comparison between two techniques was performed using Student’s t-test or Mann-Whitney test for continuous variables and Fisher’s exact test for categorical variables. Results: Our operative time for LIFT was greater than the fistulectomy. Post-operative pain was analyzed using the VAS pain scale, where Group L experienced less post-operative pain. Group F patients’ wounds took longer to heal as compared to Group L patients. Hence group L (LIFT) returned to work earlier. Post-operative complications such as wound discharge were reported more in Group F than in Group L. Same was observed in the case of post-operative infection rate. Two cases of wound granulation were observed in the case of LIFT (Group L) at one-month follow-up and one case of incontinence to flatus in the Group F group was documented at three-month follow-up in the patient's record. Thirty-seven patients’ complained of itching in Group F compared to 10 in Group L. Patients who had seton, complained of setons related problems. Conclusion: LIFT was a promising and sphincter-saving technique that was simple and easy to learn with faster healing rates and better patient contentment. Keywords: LIFT, fistulectomy, fistula-in-ano

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 91%

“…The study conducted by Olfat et al also reported no case of faecal incontinence 21 . Goudar also reported no case of faecal incontinence after the LIFT procedure 20 .…”

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

LIFT vs Fistulectomy: A Retrospective Cohort Study

Malik¹,

Nadeem²,

Aslam³

2022

PJMHS

View full text Add to dashboard Cite

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Efficacy of different surgical treatments for management of anal fistula: a network meta-analysis

Bhat

Varghese

et al. 2023

Tech Coloproctol

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Purpose Currently, the anal fistula treatment which optimises healing and preserves bowel continence remains unclear. The aim of our study was to compare the relative efficacy of different surgical treatments for AF through a network meta-analysis. Methods Systematic searches of MEDLINE, EMBASE and CENTRAL databases up to October 2022 identified randomised controlled trials (RCTs) comparing surgical treatments for anal fistulae. Fistulae were classified as simple (inter-sphincteric or low trans-sphincteric fistulae crossing less than 30% of the external anal sphincter (EAS)) and complex (high trans-sphincteric fistulae involving more than 30% of the EAS). Treatments evaluated in only one trial were excluded from the primary analyses to minimise bias. The primary outcomes were rates of success in achieving AF healing and bowel incontinence. Results Fifty-two RCTs were included. Of the 14 treatments considered, there were no significant differences regarding short-term (6 months or less postoperatively) and long-term (more than 6 months postoperatively) success rates between any of the treatments in patients with both simple and complex anal fistula. Ligation of the inter-sphincteric fistula tract (LIFT) ranked best for minimising bowel incontinence in simple (99.1% of comparisons; 3 trials, n = 70 patients) and complex anal fistula (86.2% of comparisons; 3 trials, n = 102 patients). Conclusions There is insufficient evidence in existing RCTs to recommend one treatment over another regarding their short and long-term efficacy in successfully facilitating healing of both simple and complex anal fistulae. However, LIFT appears to be associated with the least impairment of bowel continence, irrespective of AF classification.

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A comparative study of Ligation of Intesphincteric Fistula Tract versus conventional fistulectomy in management of low fistula in ano: a randomized control trial

Cited by 2 publications

References 30 publications

LIFT vs Fistulectomy: A Retrospective Cohort Study

LIFT vs Fistulectomy: A Retrospective Cohort Study

Efficacy of different surgical treatments for management of anal fistula: a network meta-analysis

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