PMID- 25754846
OWN - NLM
STAT- MEDLINE
DCOM- 20150728
LR  - 20150508
IS  - 1879-1883 (Electronic)
IS  - 0002-9610 (Linking)
VI  - 209
IP  - 5
DP  - 2015 May
TI  - Results from a novel modification to the ligation intersphincteric fistula tract.
PG  - 793-8; discussion 798
LID - S0002-9610(15)00057-4 [pii]
LID - 10.1016/j.amjsurg.2015.01.002 [doi]
AB  - BACKGROUND: The ligation of intersphincteric fistula tract (LIFT) procedure for 
      trans-sphincteric fistula-in-ano has been studied with variable success rates 
      compared with initial reports. Failures occur mostly in the intersphincteric 
      wound. Recently, we proposed a modification to LIFT, unroofing the fistula from 
      internal opening to intersphincteric groove, ligating the fistula tract, but 
      preserving the external sphincter. METHODS: This retrospective review assesses 
      outcomes of patients undergoing the modified LIFT for trans-sphincteric fistulae. 
      RESULTS: Sixty-six modified LIFT procedures were performed. The main cohort 
      consisted of 56 patients, predominantly men (76.7%). Median operative time was 
      16 minutes. Median follow-up was 20.98 weeks. Overall cure rate was 71.42%, with 
      a recurrence rate of 5.35% and fistula persistence in 16.07%. There was no 
      persistent fecal incontinence. CONCLUSION: Modified LIFT is a safe procedure that 
      is easily performed, has short operative time, eliminates the intersphincteric 
      space, and has cure rates equal to or better than the original LIFT.
CI  - Copyright (c) 2015 Elsevier Inc. All rights reserved.
FAU - Bastawrous, Amir
AU  - Bastawrous A
AD  - Swedish Colon and Rectal Clinic, Swedish Medical Center, 1101 Madison, Seattle, 
      WA 98410, USA. Electronic address: amir.bastawrous@swedish.org.
FAU - Hawkins, Melinda
AU  - Hawkins M
AD  - Swedish Colon and Rectal Clinic, Swedish Medical Center, 1101 Madison, Seattle, 
      WA 98410, USA.
FAU - Kratz, Rodney
AU  - Kratz R
AD  - Swedish Colon and Rectal Clinic, Swedish Medical Center, 1101 Madison, Seattle, 
      WA 98410, USA.
FAU - Menon, Raman
AU  - Menon R
AD  - Swedish Colon and Rectal Clinic, Swedish Medical Center, 1101 Madison, Seattle, 
      WA 98410, USA.
FAU - Pollock, Darren
AU  - Pollock D
AD  - Swedish Colon and Rectal Clinic, Swedish Medical Center, 1101 Madison, Seattle, 
      WA 98410, USA.
FAU - Charbel, Jacquelyn
AU  - Charbel J
AD  - Swedish Colon and Rectal Clinic, Swedish Medical Center, 1101 Madison, Seattle, 
      WA 98410, USA.
FAU - Long, Kevin
AU  - Long K
AD  - Swedish Colon and Rectal Clinic, Swedish Medical Center, 1101 Madison, Seattle, 
      WA 98410, USA.
LA  - eng
PT  - Journal Article
DEP - 20150216
PL  - United States
TA  - Am J Surg
JT  - American journal of surgery
JID - 0370473
SB  - IM
MH  - Adult
MH  - Anal Canal/*surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Ligation/methods
MH  - Male
MH  - Rectal Fistula/*surgery
MH  - Retrospective Studies
MH  - *Suture Techniques
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Fistula-in-ano
OT  - Fistulotomy
OT  - Ligation intersphincteric fistula tract
EDAT- 2015/03/11 06:00
MHDA- 2015/07/29 06:00
CRDT- 2015/03/11 06:00
PHST- 2014/10/28 00:00 [received]
PHST- 2015/01/09 00:00 [revised]
PHST- 2015/01/17 00:00 [accepted]
PHST- 2015/03/11 06:00 [entrez]
PHST- 2015/03/11 06:00 [pubmed]
PHST- 2015/07/29 06:00 [medline]
AID - S0002-9610(15)00057-4 [pii]
AID - 10.1016/j.amjsurg.2015.01.002 [doi]
PST - ppublish
SO  - Am J Surg. 2015 May;209(5):793-8; discussion 798. doi: 
      10.1016/j.amjsurg.2015.01.002. Epub 2015 Feb 16.