PMID- 23816007
OWN - NLM
STAT- MEDLINE
DCOM- 20130919
LR  - 20220321
IS  - 1555-9823 (Electronic)
IS  - 0003-1348 (Linking)
VI  - 79
IP  - 7
DP  - 2013 Jul
TI  - Treatment of refractory perianal fistulas with ligation of the intersphincteric 
      fistula tract: preliminary results.
PG  - 723-7
AB  - Several surgical options exist for management of fistula in ano. The goal of 
      treatment is to achieve closure of the fistula while maintaining continence. 
      Sphincter-sparing operations to close perianal fistulas include advancement flap, 
      anal fistula plug, fibrin glue, and fistulectomy. Variable success rates from 30 
      to 80 per cent have been reported. Ligation of intersphincteric fistula tract 
      (LIFT), first described in 2007, has a reported success rate from 40 to 94 per 
      cent. The objective of this study was to study our results of the LIFT procedure 
      for refractory perianal fistulas. We conducted a retrospective 18-month review of 
      consecutive patients with refractory perianal disease treated with the LIFT 
      procedure at an academic, tertiary, colorectal practice. All patients undergoing 
      a LIFT procedure for anal fistula from August 2010 to August 2012 were included 
      in the study. The primary end points were success rates at 1 month and 3 months. 
      Secondary end points were postoperative complications and maintenance of 
      continence. Twenty patients underwent LIFT procedures of whom nine had previously 
      failed treatments. Mean age was 45 years and included 12 male and eight female 
      patients. Success rate at 1 month was 70 per cent (14 patients) and at 3 months 
      was 80 per cent (16 patients). Success rates for patients with previously failed 
      attempts were 67 per cent at 1 month and 89 per cent at 3 months. Continence was 
      maintained in 100 per cent of patients. Our data support the use of the LIFT 
      procedure for refractory perirectal fistulas.
FAU - Campbell, Michael L
AU  - Campbell ML
AD  - Department of Surgery, Division of Colon and Rectal Surgery, University of South 
      Florida, Tampa, Florida 33606, USA. mcampbe1@health.usf.edu
FAU - Abboud, Elia Charbel
AU  - Abboud EC
FAU - Dolberg, Michael E
AU  - Dolberg ME
FAU - Sanchez, Jaime E
AU  - Sanchez JE
FAU - Marcet, Jorge E
AU  - Marcet JE
FAU - Rasheid, Sowsan H
AU  - Rasheid SH
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am Surg
JT  - The American surgeon
JID - 0370522
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Fecal Incontinence/prevention & control
MH  - Female
MH  - Humans
MH  - Ligation/methods
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/prevention & control
MH  - Rectal Fistula/*surgery
MH  - Reoperation
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2013/07/03 06:00
MHDA- 2013/09/21 06:00
CRDT- 2013/07/03 06:00
PHST- 2013/07/03 06:00 [entrez]
PHST- 2013/07/03 06:00 [pubmed]
PHST- 2013/09/21 06:00 [medline]
PST - ppublish
SO  - Am Surg. 2013 Jul;79(7):723-7.