PMID- 28271064 OWN - NLM STAT- MEDLINE DCOM- 20170320 LR - 20181113 IS - 2314-6141 (Electronic) IS - 2314-6133 (Print) VI - 2017 DP - 2017 TI - Ligation of Intersphincteric Fistula Tract Is Suitable for Recurrent Anal Fistulas from Follow-Up of 16 Months. PG - 3152424 LID - 10.1155/2017/3152424 [doi] LID - 3152424 AB - Since 2007, ligation of the intersphincteric fistula tract (LIFT) for the management of anal fistula was all introduced with initial success and excitement. It remains controversial which surgical procedure is suitable for transsphincteric fistula, especially to complex anal fistula. This retrospective study was designed to evaluate the results in patients with recurrent anal fistula by LIFT. A retrospective study of 55 complex fistula patients who underwent LIFT procedure in a single medical center was analyzed. Patients and fistula characteristics, complications, and recurrences were reviewed. All 55 patients underwent the procedure with a median follow-up of 16 months. Median operative time was 44 (range 23-88) minutes. Of the 55 patients, 33 (60%) healed completely and did not require any further surgical treatment at end of follow-up. Twenty-two (40%) recurrences and six complications were observed. Compared with patients who had undergone more than two surgical procedures, LIFT was more suitable for patients who had undergone one to two surgical procedures, and significant difference was observed in number of operations before LIFT (p = 0.002). Clinicians can consider the use of LIFT for the treatment of recurrent anal fistulas. A larger number of patients and prospective study are needed to be performed. FAU - Xu, Yansong AU - Xu Y AUID- ORCID: 0000-0002-5743-8252 AD - Emergency Department, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China. FAU - Tang, Weizhong AU - Tang W AUID- ORCID: 0000-0001-6203-1556 AD - Colorectal and Anal Department, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China. LA - eng PT - Journal Article DEP - 20170208 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 SB - IM MH - Adolescent MH - Adult MH - Anal Canal/*surgery MH - Demography MH - Female MH - Follow-Up Studies MH - Humans MH - Ligation MH - Male MH - Middle Aged MH - Rectal Fistula/*surgery MH - Recurrence MH - Treatment Outcome MH - Young Adult PMC - PMC5320375 COIS- There is no conflict of interests regarding the publication of this paper. EDAT- 2017/03/09 06:00 MHDA- 2017/03/21 06:00 PMCR- 2017/02/08 CRDT- 2017/03/09 06:00 PHST- 2016/11/11 00:00 [received] PHST- 2017/01/16 00:00 [accepted] PHST- 2017/03/09 06:00 [entrez] PHST- 2017/03/09 06:00 [pubmed] PHST- 2017/03/21 06:00 [medline] PHST- 2017/02/08 00:00 [pmc-release] AID - 10.1155/2017/3152424 [doi] PST - ppublish SO - Biomed Res Int. 2017;2017:3152424. doi: 10.1155/2017/3152424. Epub 2017 Feb 8.