PMID- 23671739
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20130515
LR  - 20220321
IS  - 1948-9366 (Print)
IS  - 1948-9366 (Electronic)
VI  - 5
IP  - 4
DP  - 2013 Apr 27
TI  - Ligation of intersphincteric fistula tract and its modification: Results from 
      treatment of complex fistula.
PG  - 123-8
LID - 10.4240/wjgs.v5.i4.123 [doi]
AB  - AIM: To compare healing rates between intersphincteric fistula tract (LIFT) and 
      LIFT plus partial fistulectomy procedures. METHODS: A study of complex 
      fistula-in-ano patients was carried out from 1(st) March 2010 to 31(th) January 
      2012. All operations were done by colorectal surgeons at a referral center in a 
      Ministry of Public Health hospital. Data collected included patients' demographic 
      details, fistula type determined by endorectal-ultrasonography, preoperative and 
      postoperative continence status, previous operations, time between diagnosis of 
      fistula-in-ano and operation, type of surgery, healing rates, recurrence rates, 
      and types of failure examined by endorectal-ultrasosnography, re-operation in 
      recurrence or failure cases, and complications. RESULTS: The study involved 41 
      patients whose average age was 40.78 +/- 11.84 years (range: 21-71 years). The 
      major fistula type was high-transsphincteric type fistula. The median follow-up 
      period was 24 wk. The overall success rate was 83%: in the LIFT (Ligation 
      intersphincteric fistula tract) group the success rate was 81% and in the LIFT 
      plus (LIFT with partial coreout fistulectomy) group it was 85% (P = 0.529). The 
      median wound-healing time was 4 wk in both groups (P = 0.262). The median time to 
      recurrence was 12 wk. Neither group had incontinence (Wexner incontinence 
      score-0) and the difference in healing rates between the two groups was not 
      statistically significant. CONCLUSION: There was no difference in results between 
      LIFT and LIFT plus operations. The LIFT procedure is a good option for 
      maintaining continence in management of fistula-in-ano.
FAU - Sirikurnpiboon, Siripong
AU  - Sirikurnpiboon S
AD  - Siripong Sirikurnpiboon, Burin Awapittaya, Paiboon Jivapaisarnpong, Colorectal 
      Division, General Surgery Department, Rajavithi Hospital, Rangsit University, 
      Bangkok 10400, Thailand.
FAU - Awapittaya, Burin
AU  - Awapittaya B
FAU - Jivapaisarnpong, Paiboon
AU  - Jivapaisarnpong P
LA  - eng
PT  - Journal Article
PL  - United States
TA  - World J Gastrointest Surg
JT  - World journal of gastrointestinal surgery
JID - 101532473
PMC - PMC3646132
OTO - NOTNLM
OT  - Complex fistula
OT  - Fistula-in-ano
OT  - Incontinence
OT  - Intersphincteric fistula tract
OT  - Perianal disease
EDAT- 2013/05/15 06:00
MHDA- 2013/05/15 06:01
PMCR- 2013/04/27
CRDT- 2013/05/15 06:00
PHST- 2012/10/15 00:00 [received]
PHST- 2012/11/15 00:00 [revised]
PHST- 2013/02/05 00:00 [accepted]
PHST- 2013/05/15 06:00 [entrez]
PHST- 2013/05/15 06:00 [pubmed]
PHST- 2013/05/15 06:01 [medline]
PHST- 2013/04/27 00:00 [pmc-release]
AID - 10.4240/wjgs.v5.i4.123 [doi]
PST - ppublish
SO  - World J Gastrointest Surg. 2013 Apr 27;5(4):123-8. doi: 10.4240/wjgs.v5.i4.123.