PMID- 24152365
OWN - NLM
STAT- MEDLINE
DCOM- 20140630
LR  - 20181202
IS  - 1876-8784 (Electronic)
IS  - 0028-2162 (Linking)
VI  - 157
IP  - 43
DP  - 2013
TI  - [Intersphincteric ligation of perianal fistula].
PG  - A6505
AB  - Fistulotomy is inappropriate for patients with a high transsphincteric fistula, 
      passing through the upper or middle third of the external anal sphincter, because 
      this procedure requires division of a large part of the anal sphincter, with 
      subsequent risk of fecal incontinence. Therefore, sphincter preserving procedures 
      have been developed for the treatment of high transsphincteric fistulas, such as 
      flap repair. In most hospitals, fistulotomy is still the treatment of choice for 
      low transsphincteric fistula, passing through the lower third of the external 
      anal sphincter. Although this procedure is considered simple and effective with a 
      minimal risk of incontinence, data suggest that the risk of diminished fecal 
      continence is not insignificant. Ligation of the intersphincteric fistula tract 
      (LIFT) is a new sphincter preserving technique. This technique may be a sphincter 
      preserving alternative for fistulotomy in low transsphincteric fistulas and for 
      flap repair in high transsphincteric fistulas.
FAU - Schouten, W R Ruud
AU  - Schouten WR
AD  - Erasmus MC, afd. Chirurgie, Rotterdam.
FAU - Gosselink, Martijn P
AU  - Gosselink MP
FAU - Thijsse, Sjoerd
AU  - Thijsse S
FAU - van Onkelen, Robbert S
AU  - van Onkelen R
LA  - dut
PT  - Journal Article
TT  - Intersfincterische ligatie van perianale fistels.
PL  - Netherlands
TA  - Ned Tijdschr Geneeskd
JT  - Nederlands tijdschrift voor geneeskunde
JID - 0400770
SB  - IM
MH  - Anal Canal/*surgery
MH  - Defecation
MH  - Fecal Incontinence/etiology/prevention & control
MH  - Humans
MH  - Ligation/adverse effects/*methods
MH  - Rectal Fistula/complications/*surgery
MH  - Surgical Flaps
MH  - Treatment Outcome
MH  - Wound Healing
EDAT- 2013/10/25 06:00
MHDA- 2014/07/01 06:00
CRDT- 2013/10/25 06:00
PHST- 2013/10/25 06:00 [entrez]
PHST- 2013/10/25 06:00 [pubmed]
PHST- 2014/07/01 06:00 [medline]
PST - ppublish
SO  - Ned Tijdschr Geneeskd. 2013;157(43):A6505.