PMID- 27878618
OWN - NLM
STAT- MEDLINE
DCOM- 20170710
LR  - 20220408
IS  - 1432-1262 (Electronic)
IS  - 0179-1958 (Linking)
VI  - 32
IP  - 4
DP  - 2017 Apr
TI  - Effective and long-term outcome following ligation of the intersphincteric 
      fistula tract (LIFT) for transsphincteric fistula.
PG  - 583-585
LID - 10.1007/s00384-016-2723-2 [doi]
AB  - OBJECTIVE: The purpose of this study was to evaluate the efficacy and long-term 
      outcome of the ligation of the intersphincteric fistula tract (LIFT) procedure 
      for transsphincteric fistula-in-ano. METHODS: A total of 43 patients that were 
      treated with LIFT procedure and had a follow-up time of more than 1 year were 
      included. RESULTS: The median age was 37.18 years, and 32 (74.4%) of the patients 
      were male. The median follow-up time was 26.2 months (range 13-63 months). There 
      were 29 (67.4%) uncomplicated transsphincteric fistulas, 10 (23.3%) horseshoe 
      transsphincteric fistulas, and 4 (9.3%) multiple fistulas. Eight (18.5%) patients 
      presented with dehiscence or infection at the intersphincteric wound and were 
      successfully treated with either laying open (n = 5) or local application of 
      silver nitrate (n = 3). The success rate, as determined from the last follow-up 
      time point, was 83.7% (36/43). The mean time to complete failure was 8.6 weeks 
      (range 1-28) in 7 patients. With the exception of these 7 patients, 32/36 (88.9%) 
      patients had a Cleveland Clinic Florida Faecal incontinence score of 0, 3 
      patients had a score of 1, and 1 had a score of 2. No significant association was 
      found between laying open and incontinence in these partial failure patients. 
      CONCLUSION: The LIFT procedure can be considered an effective sphincter-sparing 
      procedure in the management of transsphincteric fistula with an acceptable 
      long-term outcome.
FAU - Chen, Hong-Jin
AU  - Chen HJ
AD  - Department of Colorectal Surgery, The Affiliated Hospital of Nanjing University 
      of Chinese Medicine, Nanjing, 210029, China.
FAU - Sun, Gui-Dong
AU  - Sun GD
AD  - Department of Colorectal Surgery, The Affiliated Hospital of Nanjing University 
      of Chinese Medicine, Nanjing, 210029, China.
FAU - Zhu, Ping
AU  - Zhu P
AD  - Department of Colorectal Surgery, The Affiliated Hospital of Nanjing University 
      of Chinese Medicine, Nanjing, 210029, China.
FAU - Zhou, Zai-Long
AU  - Zhou ZL
AD  - Department of Colorectal Surgery, The Affiliated Hospital of Nanjing University 
      of Chinese Medicine, Nanjing, 210029, China.
FAU - Chen, Yu-Gen
AU  - Chen YG
AD  - Department of Colorectal Surgery, The Affiliated Hospital of Nanjing University 
      of Chinese Medicine, Nanjing, 210029, China.
FAU - Yang, Bo-Lin
AU  - Yang BL
AD  - Department of Colorectal Surgery, The Affiliated Hospital of Nanjing University 
      of Chinese Medicine, Nanjing, 210029, China. blyang1971@163.com.
LA  - eng
PT  - Journal Article
DEP - 20161123
PL  - Germany
TA  - Int J Colorectal Dis
JT  - International journal of colorectal disease
JID - 8607899
SB  - IM
MH  - Adult
MH  - Anal Canal/*surgery
MH  - Female
MH  - Humans
MH  - Ligation
MH  - Male
MH  - Middle Aged
MH  - Rectal Fistula/*surgery
MH  - Time Factors
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - Ligation of intersphincteric fistula tract
OT  - Long-term outcome
OT  - Transsphincteric anal fistula
EDAT- 2016/11/24 06:00
MHDA- 2017/07/14 06:00
CRDT- 2016/11/24 06:00
PHST- 2016/11/18 00:00 [accepted]
PHST- 2016/11/24 06:00 [pubmed]
PHST- 2017/07/14 06:00 [medline]
PHST- 2016/11/24 06:00 [entrez]
AID - 10.1007/s00384-016-2723-2 [pii]
AID - 10.1007/s00384-016-2723-2 [doi]
PST - ppublish
SO  - Int J Colorectal Dis. 2017 Apr;32(4):583-585. doi: 10.1007/s00384-016-2723-2. 
      Epub 2016 Nov 23.