PMID- 20010348
OWN - NLM
STAT- MEDLINE
DCOM- 20091231
LR  - 20091216
IS  - 1530-0358 (Electronic)
IS  - 0012-3706 (Linking)
VI  - 53
IP  - 1
DP  - 2010 Jan
TI  - Ligation of the intersphincteric fistula tract (LIFT): a sphincter-saving 
      technique for fistula-in-ano.
PG  - 39-42
LID - 10.1007/DCR.0b013e3181c160c4 [doi]
AB  - PURPOSE: This study was designed to assess the total anal sphincter-saving 
      technique of ligating the intersphincteric fistula tract for the treatment of 
      fistula-in-ano. METHODS: We performed a prospective observational study of 
      patients with fistula-in-ano treated with the ligation of the intersphincteric 
      fistula tract technique from May 2007 through September 2008. All patients had 
      fistulas arising from cryptoglandular infections. Recurrence rate, healing time, 
      and morbidities related to the procedure were determined with a standard 
      follow-up protocol. RESULTS: Forty-five patients with transsphincteric (n = 33) 
      or complex (n = 12) fistulas were included in the study. Five patients (11.1%) 
      had recurrent fistula-in-ano after prior surgery using other recognized treatment 
      procedures. The median age was 41.5 (range, 27-56) years; median follow-up, 9 
      (range, 2-16) months. Primary healing was achieved in 37 patients (82.2%), with a 
      median healing time of 7 (range, 4-10) weeks. Eight patients (17.7%) had 
      recurrence of fistula between 3 and 8 months after the operation. No clinically 
      significant morbidity was noted in any of the 45 patients. CONCLUSIONS: The 
      ligation of the intersphincteric fistula tract technique for fistula-in-ano 
      surgery, which aims at total anal sphincter preservation, appears to be both safe 
      and easy to perform, with encouraging early outcomes.
FAU - Shanwani, A
AU  - Shanwani A
AD  - Department of Surgery, Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, 
      Malaysia. drahmad69@gmail.com
FAU - Nor, Azmi M
AU  - Nor AM
FAU - Amri, Nil
AU  - Amri N
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PL  - United States
TA  - Dis Colon Rectum
JT  - Diseases of the colon and rectum
JID - 0372764
SB  - IM
MH  - Adult
MH  - Anal Canal
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Rectal Fistula/*surgery
EDAT- 2009/12/17 06:00
MHDA- 2010/01/01 06:00
CRDT- 2009/12/17 06:00
PHST- 2009/12/17 06:00 [entrez]
PHST- 2009/12/17 06:00 [pubmed]
PHST- 2010/01/01 06:00 [medline]
AID - 00003453-201001000-00008 [pii]
AID - 10.1007/DCR.0b013e3181c160c4 [doi]
PST - ppublish
SO  - Dis Colon Rectum. 2010 Jan;53(1):39-42. doi: 10.1007/DCR.0b013e3181c160c4.