PMID- 30539979
OWN - NLM
STAT- MEDLINE
DCOM- 20190503
LR  - 20190503
IS  - 2317-6326 (Electronic)
IS  - 0102-6720 (Print)
IS  - 0102-6720 (Linking)
VI  - 31
IP  - 4
DP  - 2018 Dec 6
TI  - LONG-TERM OUTCOMES OF LIGATION OF INTERSPHINCTERIC FISTULA TRACT FOR COMPLEX 
      FISTULA-IN-ANO: MODIFIED OPERATIVE PROCEDURE EXPERIENCE.
PG  - e1404
LID - S0102-67202018000400304 [pii]
LID - 10.1590/0102-672020180001e1404 [doi]
LID - e1404
AB  - BACKGROUND: It is important but difficult to treat complex fistula-in-ano due to 
      the high recurrent rate and following incontinence. Ligation of the 
      intersphincteric fistula tract (LIFT), a novel surgical procedure with the 
      advantage of avoiding anal incontinence, has a variable success rate of 57-94.4 
      %. AIM: To evaluate the long-term outcomes of modified LIFT operative procedure - 
      ligation of intersphincteric fistula tract - to treat complex fistula-in-ano. 
      METHODS: Retrospective analysis of 62 cases of complex fistula-in-ano. The group 
      was treated with the modified approach of LIFT (curved incision was made in the 
      anal canal skin; purse-string suture was performed around the fistula; the 
      residual fistulas were removed in a tunnel-based way) and had a follow-up time of 
      more than one year. Patient s preoperative general condition, postoperative 
      efficacy and their anal function were compared. RESULTS: The median age of the 
      participants was 34, and 43 (69.4%) cases were male. Forty-one (66.1%) cases were 
      of high transsphincteric fistula, four (6.5%) cases of high intrasphincter 
      fistula, and 17 (27.4%) cases of anterior anal fistula in female. The median 
      follow-up duration was 24.5 (range, 12-51) months. The success rate in the end of 
      follow-up was 83.9% (52/62). The anorectal pressure and Cleveland Clinic Florida 
      Fecal Incontinence (CCF-FI) evaluated three months before and after the operation 
      did not find apparent changes. CONCLUSIONS: Compared with LIFT, the modified LIFT 
      remarkably reduces postoperative failure and the recurrence rate of complex 
      fistula with acceptable long-term outcomes.
FAU - Wen, Ke
AU  - Wen K
AD  - Nanjing University of Chinese Medicine, Colorectal Surgery, Nanjing, Jiang su, 
      China.
AD  - Suzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Colorectal 
      Surgery, Su zhou, Jiang su, China.
FAU - Gu, Yun-Fei
AU  - Gu YF
AD  - Nanjing University of Chinese Medicine, Colorectal Surgery, Nanjing, Jiang su, 
      China.
FAU - Sun, Xue-Liang
AU  - Sun XL
AD  - Suzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Colorectal 
      Surgery, Su zhou, Jiang su, China.
FAU - Wang, Xiao-Peng
AU  - Wang XP
AD  - Suzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Colorectal 
      Surgery, Su zhou, Jiang su, China.
FAU - Yan, Shuai
AU  - Yan S
AD  - Suzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Colorectal 
      Surgery, Su zhou, Jiang su, China.
FAU - He, Zong-Qi
AU  - He ZQ
AD  - Suzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Colorectal 
      Surgery, Su zhou, Jiang su, China.
FAU - Zhen, Shu-Guang
AU  - Zhen SG
AD  - Suzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Colorectal 
      Surgery, Su zhou, Jiang su, China.
LA  - eng
LA  - por
PT  - Journal Article
DEP - 20181206
PL  - Brazil
TA  - Arq Bras Cir Dig
JT  - Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of 
      digestive surgery
JID - 9100283
SB  - IM
MH  - Adult
MH  - Anal Canal/*abnormalities/physiopathology/*surgery
MH  - Fecal Incontinence/surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Ligation/*methods
MH  - Male
MH  - Medical Illustration
MH  - Middle Aged
MH  - Rectal Fistula/physiopathology/*surgery
MH  - Retrospective Studies
MH  - Surgical Wound
MH  - Suture Techniques
MH  - Treatment Outcome
PMC - PMC6284392
COIS- Conflict of interest: none
EDAT- 2018/12/13 06:00
MHDA- 2019/05/06 06:00
PMCR- 2018/12/06
CRDT- 2018/12/13 06:00
PHST- 2018/06/27 00:00 [received]
PHST- 2018/08/31 00:00 [accepted]
PHST- 2018/12/13 06:00 [entrez]
PHST- 2018/12/13 06:00 [pubmed]
PHST- 2019/05/06 06:00 [medline]
PHST- 2018/12/06 00:00 [pmc-release]
AID - S0102-67202018000400304 [pii]
AID - 10.1590/0102-672020180001e1404 [doi]
PST - epublish
SO  - Arq Bras Cir Dig. 2018 Dec 6;31(4):e1404. doi: 10.1590/0102-672020180001e1404.