PMID- 38456116
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240309
IS  - 1394-195X (Print)
IS  - 2180-4303 (Electronic)
IS  - 1394-195X (Linking)
VI  - 31
IP  - 1
DP  - 2024 Feb
TI  - Ligation of the Intersphincteric Fistula Tract as an Emergency Treatment for 
      Cryptoglandular Anal Fistula.
PG  - 62-70
LID - 10.21315/mjms2024.31.1.5 [doi]
AB  - INTRODUCTION: Ligation of the intersphincteric fistula tract (LIFT) is a 
      sphincter-preserving procedure for treating anal fistula of cryptoglandular 
      origin. Our prospective study aimed to determine the postoperative outcomes of 
      patients undergoing LIFT in emergency and elective settings. METHODS: This was a 
      single-centre prospective observational study of the LIFT procedure for the 
      treatment of anal fistulas. The differences in the 6-month postoperative outcomes 
      between the emergency and elective procedures were analysed, including the 
      healing rate, healing time, recurrence rate, recurrence time, postoperative 
      complications and length of hospital stay. RESULTS: Twenty-two patients were 
      recruited for this study: 11 patients underwent LIFT as an emergency procedure 
      (EM-LIFT), while the others underwent LIFT as an elective procedure (EL-LIFT). 
      The healing rate for the EM-LIFT group was 90.9% (n = 10), with a median healing 
      time of 2 months (range 0.5-4). For the EL-LIFT group, the healing rate was 100% 
      (n = 11), with the same median healing time of 2 months (range 0.5-4). Two of the 
      patients in the EM-LIFT group developed recurrence, with a median recurrence time 
      of 5 months (range 4-6) and three developed recurrence in the EL-LIFT group, with 
      the same median recurrence time of 5 months (range 4-6). There were minor 
      postoperative complications of pain and subcutaneous infection, with no faecal 
      incontinence. There was no statistically significant difference in postoperative 
      outcomes between the groups. CONCLUSION: EM-LIFT is a feasible and safe primary 
      procedure for active cryptoglandular-type anal fistulas.
CI  - (c) Penerbit Universiti Sains Malaysia, 2024.
FAU - Dualim, Diana Melissa
AU  - Dualim DM
AD  - Colorectal Unit, Department of Surgery, Faculty of Medicine, Universiti 
      Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
FAU - Wong, Michael Pak-Kai
AU  - Wong MP
AD  - School of Medical Sciences and Hospital Universiti Sains Malaysia, Universiti 
      Sains Malaysia, Kelantan, Malaysia.
FAU - Rusli, Siti Mayuha
AU  - Rusli SM
AD  - Colorectal Unit, Department of Surgery, Faculty of Medicine, Universiti 
      Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
FAU - Elnaim Ali, Abdel Latif Khalifa
AU  - Elnaim Ali ALK
AD  - Department of Surgery, Kassala Police Hospital, Kassala, Sudan.
FAU - Sagap, Ismail
AU  - Sagap I
AD  - Colorectal Unit, Department of Surgery, Faculty of Medicine, Universiti 
      Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
LA  - eng
PT  - Journal Article
DEP - 20240228
PL  - Malaysia
TA  - Malays J Med Sci
JT  - The Malaysian journal of medical sciences : MJMS
JID - 101126308
PMC - PMC10917591
OTO - NOTNLM
OT  - abscess
OT  - anal fistula
OT  - elective surgical procedures
OT  - emergency treatment
OT  - ligation
COIS- Conflict of Interest: None.
EDAT- 2024/03/08 06:43
MHDA- 2024/03/08 06:44
PMCR- 2024/02/01
CRDT- 2024/03/08 04:09
PHST- 2022/08/03 00:00 [received]
PHST- 2023/04/06 00:00 [accepted]
PHST- 2024/03/08 06:44 [medline]
PHST- 2024/03/08 06:43 [pubmed]
PHST- 2024/03/08 04:09 [entrez]
PHST- 2024/02/01 00:00 [pmc-release]
AID - 05mjms3101_oa [pii]
AID - 10.21315/mjms2024.31.1.5 [doi]
PST - ppublish
SO  - Malays J Med Sci. 2024 Feb;31(1):62-70. doi: 10.21315/mjms2024.31.1.5. Epub 2024 
      Feb 28.