PMID- 37275932
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230607
IS  - 2564-6850 (Print)
IS  - 2564-7032 (Electronic)
IS  - 2564-6850 (Linking)
VI  - 39
IP  - 1
DP  - 2023 Mar
TI  - The risk factors for failure and recurrence of LIFT procedure for fistula in ano.
PG  - 27-33
LID - 10.47717/turkjsurg.2023.5807 [doi]
AB  - OBJECTIVES: Fistula in ano (FIA) is a common anorectal problem. There are several 
      techniques that have been used for treatment; however, all of them carry risks of 
      recurrence and incontinence. Ligation intersphincteric fistula tract (LIFT) is a 
      type of treatment with a promising result of preserving the anal sphincter 
      function. This study aimed to evaluate the outcome and risk factor of LIFT 
      failure and to demonstrate the pattern of recurrence. The research funding was 
      supported by Rajavithi Hospital. MATERIAL AND METHODS: From January 2015 to 
      January 2020, there were 250 cases of fistula in ano operations. A total of 148 
      patients underwent LIFT operation. The patients' average age was 39.72 +/- 10.55 
      years and the average follow-up period was 111.86 +/- 79.73 days. The average time 
      to diagnose the recurrence was 99.12 +/- 30.08 days. In addition, average time to 
      perform a surgery after the diganosis was 64.67 +/- 25.76 days. The study's 
      analyses used data on age, sex, type of fistula, operative intervention, healing 
      time, reinterventions, and recurrence. RESULTS: There were 22.97% of recurrence 
      among 148 LIFT patients. Half of the patients who underwent the operation had a 
      preoperative imaging study with MRI or endoanal ultrasonography in the first time 
      due to the complexity of the disease. Factors associated with operation failure 
      were collection, fistula tract size more than 5 millimeters, and the failure of 
      ligating the tract in one attempt. CONCLUSION: LIFT procedure is one of the 
      several sphincter saving procedures to treat FIA. Recurrence is related with the 
      complexity of the disease. Most of the recurrence is diseases that are easier to 
      treat, such as performing a re-operation or fistulotomy.
CI  - Copyright (c) 2023, Turkish Surgical Society.
FAU - Sirikurnpiboon, Siripong
AU  - Sirikurnpiboon S
AUID- ORCID: 0000-0001-9558-2637
AD  - Clinic of Colorectal Surgery, Rajavithi Hospital, Rangsit University College of 
      Medicine, Bangkok, Thailand.
LA  - eng
PT  - Journal Article
DEP - 20230303
PL  - Turkey
TA  - Turk J Surg
JT  - Turkish journal of surgery
JID - 101704837
PMC - PMC10234717
OTO - NOTNLM
OT  - Fistula in ano
OT  - LIFT
OT  - recurrence
OT  - risk factor
COIS- Conflict of Interest: The author have no conflicts of interest to declare.
EDAT- 2023/06/05 19:10
MHDA- 2023/06/05 19:11
PMCR- 2023/03/03
CRDT- 2023/06/05 12:24
PHST- 2022/06/11 00:00 [received]
PHST- 2023/01/23 00:00 [accepted]
PHST- 2023/06/05 19:11 [medline]
PHST- 2023/06/05 19:10 [pubmed]
PHST- 2023/06/05 12:24 [entrez]
PHST- 2023/03/03 00:00 [pmc-release]
AID - 10.47717/turkjsurg.2023.5807 [doi]
PST - epublish
SO  - Turk J Surg. 2023 Mar 3;39(1):27-33. doi: 10.47717/turkjsurg.2023.5807. 
      eCollection 2023 Mar.