PMID- 30343130
OWN - NLM
STAT- MEDLINE
DCOM- 20190211
LR  - 20190215
IS  - 1743-9159 (Electronic)
IS  - 1743-9159 (Linking)
VI  - 60
DP  - 2018 Dec
TI  - High ligation of the anal fistula tract by lateral approach: A prospective cohort 
      study on a modification of the ligation of the intersphincteric fistula tract 
      (LIFT) technique.
PG  - 9-14
LID - S1743-9191(18)31573-5 [pii]
LID - 10.1016/j.ijsu.2018.08.008 [doi]
AB  - BACKGROUND: Ligation of the intersphincteric fistula tract (LIFT) is a 
      sphincter-preserving operation for anal fistulas. Although it has advantages in 
      preserving continence after surgery, it is difficult to perform owing to the 
      narrow field of view. We performed a modified surgical procedure based on the 
      LIFT to overcome these drawbacks. MATERIALS AND METHODS: Twenty-eight patients 
      who were scheduled to undergo high ligation of the anal fistula tract by the 
      lateral approach for the treatment of transsphincteric anal fistulas were 
      prospectively studied. Instead of making a new stab incision on the 
      intersphincteric groove, we dissected along the fistula tract from the external 
      opening until the intersphincteric space appeared. The fistula tract was then 
      ligated close to the internal anal sphincter with absorbable sutures, and the 
      distal part of the ligation was cut off. A cored-out wound was left open for 
      drainage. RESULTS: The median follow-up was 16 months (range, 8-27 months). Of 
      the 28 patients, 19 (68%) had simple transsphincteric fistulas and 9 (32%) had 
      complex transsphincteric fistulas. Successful fistula closure was achieved in 21 
      patients (75%), with a median healing time of 4 weeks (range, 3-7 weeks). None of 
      the patients complained of any incontinence symptoms after the procedure. Of the 
      seven patients (25%) who failed to heal successfully, two (7%) did not heal up to 
      2 months after surgery and five (18%) experienced recurrence after complete 
      healing. CONCLUSION: High ligation of the anal fistula tract by lateral approach 
      may be a useful sphincter-sparing procedure for transsphincteric anal fistulas.
CI  - Copyright (c) 2018 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights 
      reserved.
FAU - Kang, Wook Ho
AU  - Kang WH
AD  - Department of Coloproctology, Yang Hospital, Namyangju, Republic of Korea.
FAU - Yang, Hyung Kyu
AU  - Yang HK
AD  - Department of Coloproctology, Yang Hospital, Seoul, Republic of Korea. Electronic 
      address: bridge1111@naver.com.
FAU - Chang, Han Jeong
AU  - Chang HJ
AD  - Department of Coloproctology, Yang Hospital, Seoul, Republic of Korea.
FAU - Ko, Yong Taek
AU  - Ko YT
AD  - Department of Coloproctology, Yang Hospital, Namyangju, Republic of Korea.
FAU - Yoo, Byung Eun
AU  - Yoo BE
AD  - Department of Coloproctology, Yang Hospital, Namyangju, Republic of Korea.
FAU - Lim, Cheong Ho
AU  - Lim CH
AD  - Department of Coloproctology, Yang Hospital, Namyangju, Republic of Korea.
FAU - Hwang, Jae Kwan
AU  - Hwang JK
AD  - Department of Coloproctology, Yang Hospital, Namyangju, Republic of Korea.
FAU - Lee, Young Chan
AU  - Lee YC
AD  - Department of Coloproctology, Yang Hospital, Namyangju, Republic of Korea.
FAU - Shin, Hyeon Keun
AU  - Shin HK
AD  - Department of Coloproctology, Yang Hospital, Seoul, Republic of Korea.
FAU - Son, Hae Jung
AU  - Son HJ
AD  - Department of Coloproctology, Yang Hospital, Seoul, Republic of Korea.
LA  - eng
PT  - Journal Article
DEP - 20181019
PL  - United States
TA  - Int J Surg
JT  - International journal of surgery (London, England)
JID - 101228232
SB  - IM
MH  - Adult
MH  - Aged
MH  - Anal Canal/*surgery
MH  - Cohort Studies
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Ligation/adverse effects/*methods
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Rectal Fistula/*surgery
MH  - Recurrence
MH  - Treatment Outcome
MH  - Wound Healing
OTO - NOTNLM
OT  - Anal fistula
OT  - Fistula-in-ano
OT  - High ligation of fistula tract
OT  - LIFT
OT  - Ligation of intersphincteric fistula tract
OT  - Sphincter-preserving
EDAT- 2018/10/22 06:00
MHDA- 2019/02/12 06:00
CRDT- 2018/10/22 06:00
PHST- 2018/05/10 00:00 [received]
PHST- 2018/07/09 00:00 [revised]
PHST- 2018/08/22 00:00 [accepted]
PHST- 2018/10/22 06:00 [pubmed]
PHST- 2019/02/12 06:00 [medline]
PHST- 2018/10/22 06:00 [entrez]
AID - S1743-9191(18)31573-5 [pii]
AID - 10.1016/j.ijsu.2018.08.008 [doi]
PST - ppublish
SO  - Int J Surg. 2018 Dec;60:9-14. doi: 10.1016/j.ijsu.2018.08.008. Epub 2018 Oct 19.