PMID- 26476011
OWN - NLM
STAT- MEDLINE
DCOM- 20170718
LR  - 20170817
IS  - 1463-1318 (Electronic)
IS  - 1462-8910 (Linking)
VI  - 18
IP  - 5
DP  - 2016 May
TI  - Ligation of the intersphincteric fistula tract for the treatment of 
      fistula-in-ano: experience of a tertiary care centre in South India.
PG  - 496-502
LID - 10.1111/codi.13162 [doi]
AB  - AIM: Ligation of the intersphincteric fistula tract (LIFT) is a new 
      sphincter-sparing surgical technique increasingly used to treat fistulae-in-ano 
      yielding good results. The aim of this study was to evaluate its effectiveness in 
      the treatment of complex fistulae-in-ano and to determine factors associated with 
      recurrence and its subsequent management. METHOD: A prospective observational 
      study was performed of 167 patients with complex fistula-in-ano treated by LIFT 
      from June 2013 to January 2014. In all patients a LIFT with partial core-out of 
      the fistula tract was performed. RESULTS: There were 167 patients of mean age 
      43.6 +/- 12.8 years. Thirty-three fistulae were recurrent. 150 were 
      trans-sphincteric, 16 were intersphincteric and one was a suprasphincteric 
      fistula. The median postoperative stay was 2 (range: 1-14) days 
      (mean = 2.4 days). At follow up there was no change in continence. The median 
      healing time was 4 (range: 1-8) weeks. Two patients developed an intersphincteric 
      abscess needing surgical drainage healing uneventfully. The mean follow up was 
      12.8 [median = 12 (range: 4-22)] months. The healing rate was 94.1%. Ten (5.9%) 
      patients developed a recurrent fistula that was managed by a second LIFT 
      procedure in seven, a sinus tract excision with curettage in two and seton 
      placement in one. Recurrence was significantly associated with diabetes mellitus 
      and perianal collections and showed an increased incidence with tract abscesses 
      and multiple tracts. CONCLUSION: LIFT has a high success rate in complex 
      fistulae-in-ano. Recurrence is related to diabetes mellitus, perianal 
      collections, tract abscesses and multiple tracts and a second LIFT procedure may 
      be feasible and efficient.
CI  - Colorectal Disease (c) 2015 The Association of Coloproctology of Great Britain and 
      Ireland.
FAU - Parthasarathi, R
AU  - Parthasarathi R
AD  - Department of Surgical Gastroenterology, GEM Hospital and Research Centre, 
      Coimbatore, India.
FAU - Gomes, R M
AU  - Gomes RM
AD  - Department of Surgical Gastroenterology, GEM Hospital and Research Centre, 
      Coimbatore, India.
FAU - Rajapandian, S
AU  - Rajapandian S
AD  - Department of Surgical Gastroenterology, GEM Hospital and Research Centre, 
      Coimbatore, India.
FAU - Sathiamurthy, R
AU  - Sathiamurthy R
AD  - Department of Surgical Gastroenterology, GEM Hospital and Research Centre, 
      Coimbatore, India.
FAU - Praveenraj, P
AU  - Praveenraj P
AD  - Department of Surgical Gastroenterology, GEM Hospital and Research Centre, 
      Coimbatore, India.
FAU - Senthilnathan, P
AU  - Senthilnathan P
AD  - Department of Surgical Gastroenterology, GEM Hospital and Research Centre, 
      Coimbatore, India.
FAU - Palanivelu, C
AU  - Palanivelu C
AD  - Department of Surgical Gastroenterology, GEM Hospital and Research Centre, 
      Coimbatore, India.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - England
TA  - Colorectal Dis
JT  - Colorectal disease : the official journal of the Association of Coloproctology of 
      Great Britain and Ireland
JID - 100883611
SB  - IM
MH  - Adult
MH  - Anal Canal/*surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - India
MH  - Length of Stay
MH  - Ligation/adverse effects/*methods
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/etiology/surgery
MH  - Prospective Studies
MH  - Rectal Fistula/*surgery
MH  - Recurrence
MH  - Tertiary Care Centers
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Fistula-in-ano
OT  - ligation of intersphincteric fistula tract
OT  - peri-anal abscess
OT  - recurrent fistula-in-ano
EDAT- 2015/10/18 06:00
MHDA- 2017/07/19 06:00
CRDT- 2015/10/18 06:00
PHST- 2015/06/12 00:00 [received]
PHST- 2015/08/01 00:00 [accepted]
PHST- 2015/10/18 06:00 [entrez]
PHST- 2015/10/18 06:00 [pubmed]
PHST- 2017/07/19 06:00 [medline]
AID - 10.1111/codi.13162 [doi]
PST - ppublish
SO  - Colorectal Dis. 2016 May;18(5):496-502. doi: 10.1111/codi.13162.