PMID- 25472892
OWN - NLM
STAT- MEDLINE
DCOM- 20150812
LR  - 20181202
IS  - 1432-2323 (Electronic)
IS  - 0364-2313 (Linking)
VI  - 39
IP  - 4
DP  - 2015 Apr
TI  - Early experience with the modificated approach of ligation of the 
      intersphincteric fistula tract for high transsphincteric fistula.
PG  - 1059-65
LID - 10.1007/s00268-014-2888-1 [doi]
AB  - BACKGROUND: Transsphincteric fistulotomy is associated with a variable degree of 
      fecal incontinence. Ligation of the intersphincteric fistula tract (LIFT), a 
      novel surgical procedure with the advantage of avoiding anal incontinence, has a 
      variable success rate of 57-94%. We evaluated a modified approach from it. Our 
      aim was to review the preliminary results using this technique for high 
      transsphincteric fistula. METHODS: A retrospective analysis of a consecutive 
      series of high transsphincteric fistula patients who underwent the modified LIFT 
      (mLIFT) procedure was performed. The surgical technique involved making a lateral 
      incision from external opening to intersphincteric groove; ligation of the 
      fistula tract within the intersphincteric space; and complete excision of the 
      distal part of fistula from external opening to external sphincter. The patients 
      were followed for healing time, recurrence, fecal continence disturbance, and any 
      other associated morbidity. RESULTS: Over a 2-year period, 43 patients with high 
      transsphincteric anal fistula were treated by mLIFT technique. Four patients were 
      lost at follow-up. In a mean follow-up of 15 months, 34/39 (87.2%) of the 
      patients achieved primary or secondary healing. Five patients had persistent 
      symptoms and required further surgical treatment. The second procedures were 
      successful, and finally resulting in an overall healing rate of 100%. The Wexner 
      incontinence scale was 0 (0-20) both before and at 6 months after the procedure. 
      CONCLUSIONS: The mLIFT procedure for high transsphincteric fistula appeared to 
      effectively preserve continence and achieved a comparable success rate to other 
      sphincter-preserving techniques.
FAU - Ye, Feng
AU  - Ye F
AD  - Department of Colorectal Surgery, The First Affiliated Hospital, Zhejiang 
      University, Hangzhou, China.
FAU - Tang, Changling
AU  - Tang C
FAU - Wang, Danyang
AU  - Wang D
FAU - Zheng, Shusen
AU  - Zheng S
LA  - eng
PT  - Journal Article
PL  - United States
TA  - World J Surg
JT  - World journal of surgery
JID - 7704052
SB  - IM
CIN - World J Surg. 2016 Feb;40(2):479. PMID: 26071012
MH  - Adolescent
MH  - Adult
MH  - Anal Canal/*surgery
MH  - Cutaneous Fistula/complications/*surgery
MH  - Fecal Incontinence/etiology/*surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Ligation/methods
MH  - Male
MH  - Middle Aged
MH  - Rectal Fistula/complications/*surgery
MH  - Recurrence
MH  - Reoperation
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Treatment Outcome
MH  - Wound Healing
MH  - Young Adult
EDAT- 2014/12/05 06:00
MHDA- 2015/08/13 06:00
CRDT- 2014/12/05 06:00
PHST- 2014/12/05 06:00 [entrez]
PHST- 2014/12/05 06:00 [pubmed]
PHST- 2015/08/13 06:00 [medline]
AID - 10.1007/s00268-014-2888-1 [doi]
PST - ppublish
SO  - World J Surg. 2015 Apr;39(4):1059-65. doi: 10.1007/s00268-014-2888-1.