PMID- 24201738
OWN - NLM
STAT- MEDLINE
DCOM- 20150727
LR  - 20140913
IS  - 1553-3514 (Electronic)
IS  - 1553-3506 (Linking)
VI  - 21
IP  - 5
DP  - 2014 Oct
TI  - Ligation of the intersphincteric fistula tract (LIFT): a minimally invasive 
      procedure for complex anal fistula: two-year results of a prospective 
      multicentric study.
PG  - 476-80
LID - 10.1177/1553350613508018 [doi]
AB  - INTRODUCTION: The surgical management of anal fistulas is still a matter of 
      discussion and no clear recommendations exist. The present study analyses the 
      results of the ligation of the intersphincteric fistula tract (LIFT) technique in 
      treating complex anal fistulas, in particular healing, fecal continence, and 
      recurrence. METHODS: Between October 2010 and February 2012, a total of 26 
      consecutive patients underwent LIFT. All patients had a primary complex anal 
      fistula and preoperatively all underwent clinical examination, proctoscopy, 
      transanal ultrasonography/magnetic resonance imaging, and were treated with the 
      LIFT procedure. For the purpose of this study, fistulas were classified as 
      complex if any of the following conditions were present: tract crossing more than 
      30% of the external sphincter, anterior fistula in a woman, recurrent fistula, or 
      preexisting incontinence. Patient's postoperative complications, healing time, 
      recurrence rate, and postoperative continence were recorded during follow-up. 
      RESULTS: The minimum follow-up was 16 months. Five patients required delayed LIFT 
      after previous seton. There were no surgical complications. Primary healing was 
      achieved in 19 patients (73%). Seven patients (27%) had recurrence presenting 
      between 4 and 8 weeks postoperatively and required further surgical treatment. 
      Two of them (29%) had previous insertion of a seton. No patients reported any 
      incontinence postoperatively and we did not observe postoperative continence 
      worsening. CONCLUSION: In our experience, LIFT appears easy to perform, is safe 
      with no surgical complication, has no risk of incontinence, and has a low 
      recurrence rate. These results suggest that LIFT as a minimally invasive 
      technique should be routinely considered for patients affected by complex anal 
      fistula.
CI  - (c) The Author(s) 2013.
FAU - Sileri, Pierpaolo
AU  - Sileri P
AD  - Univesity of Rome Tor Vergata, Rome, Italy piersileri@yahoo.com.
FAU - Giarratano, Gabriella
AU  - Giarratano G
AD  - CdC Madonna delle Grazie, Rome, Italy.
FAU - Franceschilli, Luana
AU  - Franceschilli L
AD  - Univesity of Rome Tor Vergata, Rome, Italy.
FAU - Limura, Elsa
AU  - Limura E
AD  - Univesity of Rome Tor Vergata, Rome, Italy.
FAU - Perrone, Federico
AU  - Perrone F
AD  - Univesity of Rome Tor Vergata, Rome, Italy.
FAU - Stazi, Alessandro
AU  - Stazi A
AD  - CdC Madonna delle Grazie, Rome, Italy.
FAU - Toscana, Claudio
AU  - Toscana C
AD  - CdC Madonna delle Grazie, Rome, Italy.
FAU - Gaspari, Achille Lucio
AU  - Gaspari AL
AD  - Univesity of Rome Tor Vergata, Rome, Italy.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20131106
PL  - United States
TA  - Surg Innov
JT  - Surgical innovation
JID - 101233809
SB  - IM
MH  - Adult
MH  - Aged
MH  - Fecal Incontinence
MH  - Female
MH  - Humans
MH  - Ligation/*methods
MH  - Male
MH  - Middle Aged
MH  - Minimally Invasive Surgical Procedures/*methods
MH  - Prospective Studies
MH  - Rectal Fistula/epidemiology/*surgery
MH  - Recurrence
MH  - Treatment Outcome
OTO - NOTNLM
OT  - (LIFT)
OT  - anal fistula
OT  - incontinence
OT  - ligation of the intersphincteric fistula tract
OT  - recurrence
EDAT- 2013/11/10 06:00
MHDA- 2015/07/28 06:00
CRDT- 2013/11/09 06:00
PHST- 2013/11/09 06:00 [entrez]
PHST- 2013/11/10 06:00 [pubmed]
PHST- 2015/07/28 06:00 [medline]
AID - 1553350613508018 [pii]
AID - 10.1177/1553350613508018 [doi]
PST - ppublish
SO  - Surg Innov. 2014 Oct;21(5):476-80. doi: 10.1177/1553350613508018. Epub 2013 Nov 
      6.