PMID- 23893217
OWN - NLM
STAT- MEDLINE
DCOM- 20141017
LR  - 20220321
IS  - 1128-045X (Electronic)
IS  - 1123-6337 (Linking)
VI  - 18
IP  - 1
DP  - 2014 Jan
TI  - Overview of anal fistula and systematic review of ligation of the 
      intersphincteric fistula tract (LIFT).
PG  - 13-22
LID - 10.1007/s10151-013-1050-7 [doi]
AB  - Anal fistula management has long been a challenge for surgeons. Presently, no 
      technique exists that is ideal for treating all types of anal fistula, whether 
      simple or complex. A higher incidence of poor sphincter function and recurrence 
      after surgery has encouraged the development of a new sphincter-sparing 
      procedure, ligation of the intersphincteric fistula tract (LIFT), first described 
      by Van der Hagen et al. in 2006. We assessed the safety, feasibility, success 
      rate, and continence of LIFT as a sphincter-saving procedure. A literature search 
      of articles in electronic databases published from January 2006 to August 2012 
      was performed. Analysis followed Preferred Reporting Items for Systematic Reviews 
      recommendations. All LIFT-related articles published in the English language were 
      included. We excluded case reports, abstracts, letters, non-English language 
      articles, and comments. The procedure was described in detail as reported by 
      Rojanasakul. Thirteen original studies, including 435 patients, were reviewed. 
      The most common fistula procedure type was transsphincteric (92.64 %). The 
      overall median operative time was 39 (+/-20.16) min. Eight authors performed LIFT 
      as a same-day surgery, whereas the others admitted patients to the hospital, with 
      an overall median stay of 1.25 days (range 1-5 days). Postoperative complications 
      occurred in 1.88 % of patients. All patients remained continent postoperatively. 
      The overall mean length of follow-up was 33.92 (+/-17.0) weeks. The overall mean 
      healing rate was 81.37 (+/-16.35) % with an overall mean healing period of 8.15 
      (+/-5.96) weeks. Fistula recurrence occurred in 7.58 % of patients. LIFT represents 
      a new, easy-to-learn, and inexpensive sphincter-sparing procedure that provides 
      reasonable results. LIFT is safe and feasible, with favorable short- and 
      long-term outcomes. However, additional prospective randomized studies are 
      required to confirm these findings.
FAU - Alasari, S
AU  - Alasari S
AD  - Yonsei University College of Medicine, Severance Hospital, Seoul, South Korea, 
      sss_Allah@hotmail.com.
FAU - Kim, N K
AU  - Kim NK
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20130727
PL  - Italy
TA  - Tech Coloproctol
JT  - Techniques in coloproctology
JID - 9613614
SB  - IM
MH  - Humans
MH  - Ligation/adverse effects/*methods
MH  - Postoperative Complications
MH  - Rectal Fistula/*surgery
MH  - Treatment Outcome
EDAT- 2013/07/31 06:00
MHDA- 2014/10/18 06:00
CRDT- 2013/07/30 06:00
PHST- 2012/12/03 00:00 [received]
PHST- 2013/07/07 00:00 [accepted]
PHST- 2013/07/30 06:00 [entrez]
PHST- 2013/07/31 06:00 [pubmed]
PHST- 2014/10/18 06:00 [medline]
AID - 10.1007/s10151-013-1050-7 [doi]
PST - ppublish
SO  - Tech Coloproctol. 2014 Jan;18(1):13-22. doi: 10.1007/s10151-013-1050-7. Epub 2013 
      Jul 27.