PMID- 32967495 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20240113 IS - 1473-2300 (Electronic) IS - 0300-0605 (Print) IS - 0300-0605 (Linking) VI - 48 IP - 9 DP - 2020 Sep TI - Effect of intersphincteric fistula tract ligation versus anal fistulectomy on pain scores and serum levels of vascular endothelial growth factor and interleukin-2 in patients with simple anal fistulas. PG - 300060520949072 LID - 10.1177/0300060520949072 [doi] LID - 0300060520949072 AB - OBJECTIVE: This study was performed to explore the effects of ligation of the intersphincteric fistula tract (LIFT) on pain scores and serum levels of vascular endothelial growth factor (VEGF) and interleukin (IL)-2 in patients with simple anal fistulas. METHODS: Ninety patients with simple anal fistulas were evenly randomized into a study group (treated with LIFT) and a control group (treated with traditional anal fistulectomy) according to a random number table. The surgical outcomes, basic operation conditions (operation time, hospital stay, and anal continence), and postoperative wound healing rates were compared between the two groups. RESULTS: The study group had significantly better operation conditions (better anal continence and shorter length of hospital stay), a higher postoperative wound healing rate, lower pain scores, higher VEGF and IL-2 levels, and higher overall efficacy rate than the control group. However, the incidence of postoperative complications was not significantly different between the two groups. CONCLUSIONS: Patients who underwent LIFT had better surgical outcomes, higher wound healing rates, better anal continence, a shorter length of hospital stay, and less severe postoperative pain than those who underwent simple anal fistulectomy. Increased levels of VEGF and IL-2 after surgery may promote wound healing. FAU - Dong, Xin AU - Dong X AD - Anorectal Department, Dongying People's Hospital, Dongying, Shandong, China. FAU - Jia, Zhanbo AU - Jia Z AUID- ORCID: 0000-0001-7665-3604 AD - Anorectal Department, Dongying People's Hospital, Dongying, Shandong, China. FAU - Yu, Bianfang AU - Yu B AD - Anorectal Department, Dongying People's Hospital, Dongying, Shandong, China. FAU - Zhang, Xuebin AU - Zhang X AD - Anorectal Department, Dongying People's Hospital, Dongying, Shandong, China. FAU - Xu, Fagang AU - Xu F AD - Anorectal Department, Dongying People's Hospital, Dongying, Shandong, China. FAU - Tan, Longtao AU - Tan L AD - Anorectal Department, Dongying People's Hospital, Dongying, Shandong, China. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Retracted Publication PL - England TA - J Int Med Res JT - The Journal of international medical research JID - 0346411 RN - 0 (Interleukin-2) RN - 0 (Vascular Endothelial Growth Factor A) SB - IM RIN - J Int Med Res. 2024 Jan;52(1):3000605241228165. PMID: 38217421 MH - Anal Canal/surgery MH - Humans MH - *Interleukin-2 MH - Ligation MH - *Rectal Fistula/surgery MH - Recurrence MH - Treatment Outcome MH - Vascular Endothelial Growth Factor A PMC - PMC7521059 OTO - NOTNLM OT - Simple anal fistula OT - anal fistulectomy OT - interleukin-2 OT - ligation of the intersphincteric fistula tract OT - vascular endothelial growth factor OT - wound healing EDAT- 2020/09/25 06:00 MHDA- 2021/05/15 06:00 PMCR- 2020/09/24 CRDT- 2020/09/24 05:24 PHST- 2020/09/24 05:24 [entrez] PHST- 2020/09/25 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2020/09/24 00:00 [pmc-release] AID - 10.1177_0300060520949072 [pii] AID - 10.1177/0300060520949072 [doi] PST - ppublish SO - J Int Med Res. 2020 Sep;48(9):300060520949072. doi: 10.1177/0300060520949072.