PMID- 34515647
OWN - NLM
STAT- MEDLINE
DCOM- 20211125
LR  - 20211125
IS  - 2299-2847 (Electronic)
IS  - 0032-373X (Linking)
VI  - 93
IP  - 4
DP  - 2021 May 14
TI  - The results of high-position anal fistula treatment using the LIFT (ligation of 
      intersphincteric fistula tract) procedure. A retrospective, single-center study.
PG  - 41-45
LID - 10.5604/01.3001.0014.8769 [doi]
AB  - Ligation of the intersphincteric fistula tract (LIFT) is an established method 
      for the treatment of high- and lowposition anal fistulas. Numerous meta-analyses 
      confirm the high healing success rate with simultaneous low risk of sphincter 
      damage. The aim of the study was to evaluate the results of the treatment of 
      patients with high-position and complex transsphincteric fistulas using the LIFT 
      procedure. Twelve patients (M - 9, F - 3) aged between 28 and 69 years (median 
      age 50) undergoing surgery for complex and high-position transsphincteric anal 
      fistulas, either primary or recurrent, in the period of 2016 to 2020, were 
      included in the study. The inclusion criterion consisted in the presence of a 
      fistula encompassing more than 30% of the anal sphincter volume as confirmed by 
      transrectal ultrasound. All patients were subjected to surgical treatment by 
      means of the LIFT procedure. The follow-up period was between 6 and 51 months 
      (average of 16 months). Follow-up visits were held at 1 and 4 weeks as well as 6 
      months after surgery. During the postoperative period, data were collected on the 
      curative effect or recurrence of transsphincteric fistulas (the primary endpoint) 
      and on the presence of postoperative complications (the secondary endpoint). A 
      total of 10 patients (83.3%) were healed, with 2 patients (16.7%) experiencing 
      complications as manifested by recurring intersphincteric fistula. Full 
      recurrence of the disease was observed in 2 patients (16.7%). Slight disturbances 
      of continence were observed in 2 out of 12 patients (16.7%).
FAU - Rydzek, Martyna
AU  - Rydzek M
AD  - Our Lady of Perpetual Help Hospital in Wolomin, Poland.
FAU - Ciesielski, Przemyslaw
AU  - Ciesielski P
AD  - Our Lady of Perpetual Help Hospital in Wolomin, Poland.
FAU - Diuwe, Piotr
AU  - Diuwe P
AD  - Our Lady of Perpetual Help Hospital in Wolomin, Poland.
LA  - eng
PT  - Journal Article
PL  - Poland
TA  - Pol Przegl Chir
JT  - Polski przeglad chirurgiczny
JID - 0376426
SB  - IM
MH  - Adult
MH  - Aged
MH  - Anal Canal/surgery
MH  - Humans
MH  - Ligation
MH  - Middle Aged
MH  - *Rectal Fistula/surgery
MH  - Recurrence
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - LIFT surgery
OT  - anal fistula
OT  - incontinence
EDAT- 2021/09/14 06:00
MHDA- 2021/11/26 06:00
CRDT- 2021/09/13 12:21
PHST- 2021/09/13 12:21 [entrez]
PHST- 2021/09/14 06:00 [pubmed]
PHST- 2021/11/26 06:00 [medline]
AID - 01.3001.0014.8769 [pii]
AID - 10.5604/01.3001.0014.8769 [doi]
PST - ppublish
SO  - Pol Przegl Chir. 2021 May 14;93(4):41-45. doi: 10.5604/01.3001.0014.8769.