PMID- 31240556 OWN - NLM STAT- MEDLINE DCOM- 20210414 LR - 20240213 IS - 1873-4626 (Electronic) IS - 1091-255X (Linking) VI - 24 IP - 3 DP - 2020 Mar TI - LIFT and BioLIFT: a 10-Year Single-Centre Experience of Treating Complex Fistula-In-Ano With Ligation of Intersphincteric Fistula Tract Procedure With or Without Bio-prosthetic Reinforcement (BioLIFT). PG - 671-676 LID - 10.1007/s11605-019-04305-x [doi] AB - PURPOSE: To assess the outcome of ligation of intersphincteric fistula tract (LIFT) and bioprosthetic graft (BioLIFT) in the management of transsphincteric perianal fistula. METHODS: A single-institution retrospective analysis of all patients undergoing LIFT and BioLIFT from January 2009 to June 2018 was performed. Only patients who had LIFTs and BioLIFT performed as their primary sphincter-preserving procedure was included. Primary outcome measured was primary healing. Secondary outcomes measured were secondary healing, morbidity, time to recurrence, and pre- and post-operative anorectal manometry. Chi-square analysis was used to determine predictive factors. RESULTS: A total of 116 patients were identified. One hundred five had LIFT and 11 had BioLIFT. The total primary healing rate was 60.3% (62.9% and 34.9% for LIFT and BioLIFT respectively). The overall secondary healing rate was 80.2% (80.0% and 81.9% for LIFT and BioLIFT respectively). There was no inpatient morbidity or post-procedural faecal incontinence reported. There was no significant change in the pre- and post-operative manometries in either group (P = 0.417 and P = 0.834 for LIFT and BioLIFT respectively). The only predictor for primary failure identified was anteriorly located fistula. CONCLUSION: LIFT and BioLIFT compare favourably with other sphincter-preserving procedures. LIFT and BioLIFT can be performed safely, with minimal morbidity and with no reported loss of sphincteric function. FAU - Lau, Yee Chen AU - Lau YC AUID- ORCID: 0000-0001-7677-801X AD - Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia. ychenlau@gmail.com. AD - Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, PO Box M157, Missenden Road, Sydney, NSW, 2050, Australia. ychenlau@gmail.com. FAU - Brown, Kilian G M AU - Brown KGM AD - Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia. AD - Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, PO Box M157, Missenden Road, Sydney, NSW, 2050, Australia. AD - The Institute of Academic Surgery at RPA, Sydney, Australia. FAU - Cheong, Juyong AU - Cheong J AD - Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia. AD - Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, PO Box M157, Missenden Road, Sydney, NSW, 2050, Australia. FAU - Byrne, Christopher AU - Byrne C AD - Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia. AD - Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, PO Box M157, Missenden Road, Sydney, NSW, 2050, Australia. AD - The Institute of Academic Surgery at RPA, Sydney, Australia. FAU - Lee, Peter J AU - Lee PJ AD - Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia. AD - Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, PO Box M157, Missenden Road, Sydney, NSW, 2050, Australia. AD - The Institute of Academic Surgery at RPA, Sydney, Australia. LA - eng PT - Journal Article DEP - 20190625 PL - Netherlands TA - J Gastrointest Surg JT - Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract JID - 9706084 SB - IM MH - Anal Canal/surgery MH - Humans MH - Ligation MH - *Neoplasm Recurrence, Local MH - *Rectal Fistula/surgery MH - Recurrence MH - Retrospective Studies MH - Treatment Outcome OTO - NOTNLM OT - BioLIFT OT - LIFT OT - Ligation of intersphincteric tract OT - Perianal fistula EDAT- 2019/06/27 06:00 MHDA- 2021/04/15 06:00 CRDT- 2019/06/27 06:00 PHST- 2019/04/13 00:00 [received] PHST- 2019/06/10 00:00 [accepted] PHST- 2019/06/27 06:00 [pubmed] PHST- 2021/04/15 06:00 [medline] PHST- 2019/06/27 06:00 [entrez] AID - S1091-255X(23)01408-7 [pii] AID - 10.1007/s11605-019-04305-x [doi] PST - ppublish SO - J Gastrointest Surg. 2020 Mar;24(3):671-676. doi: 10.1007/s11605-019-04305-x. Epub 2019 Jun 25.