scholarly journals Long-term outcomes of (Gore) fistula plug versus ligation of intersphincteric fistula tract for anal fistula

2018 ◽  
Vol 38 (4) ◽  
pp. 314-319
Author(s):  
Abdullah Alhaddad ◽  
Ali Mouzannar ◽  
Aqeel Ashraf ◽  
Bader Marafi ◽  
Ibtisam Albader ◽  
...  
Keyword(s):  
Anal Fistula ◽  
Fistula Tract ◽  
Long Term Outcomes ◽  
Fistula Plug ◽  
Intersphincteric Fistula

scholarly journals LONG-TERM OUTCOMES OF LIGATION OF INTERSPHINCTERIC FISTULA TRACT FOR COMPLEX FISTULA-IN-ANO: MODIFIED OPERATIVE PROCEDURE EXPERIENCE

2018 ◽  
Vol 31 (4) ◽  
Author(s):  
Ke WEN ◽  
Yun-Fei GU ◽  
Xue-Liang SUN ◽  
Xiao-Peng WANG ◽  
Shuai YAN ◽  
...  
Keyword(s):  
Success Rate ◽  
Operative Procedure ◽  
Cleveland Clinic ◽  
Fistula Tract ◽  
Long Term Outcomes ◽  
Fistula In Ano ◽  
Complex Fistula ◽  
Intersphincteric Fistula

ABSTRACT Background: It is important but difficult to treat complex fistula-in-ano due to the high recurrent rate and following incontinence. Ligation of the intersphincteric fistula tract (LIFT), a novel surgical procedure with the advantage of avoiding anal incontinence, has a variable success rate of 57-94.4 %. Aim: To evaluate the long-term outcomes of modified LIFT operative procedure - ligation of intersphincteric fistula tract - to treat complex fistula-in-ano. Methods: Retrospective analysis of 62 cases of complex fistula-in-ano. The group was treated with the modified approach of LIFT (curved incision was made in the anal canal skin; purse-string suture was performed around the fistula; the residual fistulas were removed in a tunnel-based way) and had a follow-up time of more than one year. Patient´s preoperative general condition, postoperative efficacy and their anal function were compared. Results: The median age of the participants was 34, and 43 (69.4%) cases were male. Forty-one (66.1%) cases were of high transsphincteric fistula, four (6.5%) cases of high intrasphincter fistula, and 17 (27.4%) cases of anterior anal fistula in female. The median follow-up duration was 24.5 (range, 12-51) months. The success rate in the end of follow-up was 83.9% (52/62). The anorectal pressure and Cleveland Clinic Florida Fecal Incontinence (CCF-FI) evaluated three months before and after the operation did not find apparent changes. Conclusions: Compared with LIFT, the modified LIFT remarkably reduces postoperative failure and the recurrence rate of complex fistula with acceptable long-term outcomes.

Treatment of Refractory Perianal Fistulas with Ligation of the Intersphincteric Fistula Tract: Preliminary Results

2013 ◽  
Vol 79 (7) ◽  
pp. 723-727 ◽  
Author(s):  
Michael L. Campbell ◽  
Elia Charbel Abboud ◽  
Michael E. Dolberg ◽  
Jaime E. Sanchez ◽  
Jorge E. Marcet ◽  
...  
Keyword(s):  
Success Rate ◽  
Anal Fistula ◽  
Advancement Flap ◽  
Fistula Tract ◽  
Success Rates ◽  
End Points ◽  
Perianal Fistulas ◽  
Fistula Plug ◽  
Variable Success ◽  
Intersphincteric Fistula

Several surgical options exist for management of fistula in ano. The goal of treatment is to achieve closure of the fistula while maintaining continence. Sphincter-sparing operations to close perianal fistulas include advancement flap, anal fistula plug, fibrin glue, and fistulectomy. Variable success rates from 30 to 80 per cent have been reported. Ligation of intersphincteric fistula tract (LIFT), first described in 2007, has a reported success rate from 40 to 94 per cent. The objective of this study was to study our results of the LIFT procedure for refractory perianal fistulas. We conducted a retrospective 18-month review of consecutive patients with refractory perianal disease treated with the LIFT procedure at an academic, tertiary, colorectal practice. All patients undergoing a LIFT procedure for anal fistula from August 2010 to August 2012 were included in the study. The primary end points were success rates at 1 month and 3 months. Secondary end points were postoperative complications and maintenance of continence. Twenty patients underwent LIFT procedures of whom nine had previously failed treatments. Mean age was 45 years and included 12 male and eight female patients. Success rate at 1 month was 70 per cent (14 patients) and at 3 months was 80 per cent (16 patients). Success rates for patients with previously failed attempts were 67 per cent at 1 month and 89 per cent at 3 months. Continence was maintained in 100 per cent of patients. Our data support the use of the LIFT procedure for refractory perirectal fistulas.

scholarly journals Long-term results of ligation of intersphincteric fistula tract (LIFT) for management of anal fistula

2016 ◽  
Vol 36 (4) ◽  
pp. 227-230 ◽  
Author(s):  
Fakhrosadat Anaraki ◽  
Gholamreza Bagherzade ◽  
Roubik Behboo ◽  
Omid Etemad
Keyword(s):  
Anal Fistula ◽  
Long Term Results ◽  
Fistula Tract ◽  
Intersphincteric Fistula

Long‐term outcomes and quality of life following ligation of the intersphincteric fistula tract for high transsphincteric fistulas

2018 ◽  
Vol 21 (1) ◽  
pp. 30-37 ◽  
Author(s):  
X.‐L. Sun ◽  
K. Wen ◽  
Y.‐H. Chen ◽  
Z.‐Z. Xu ◽  
X.‐P. Wang
Keyword(s):  
Quality Of Life ◽  
Fistula Tract ◽  
Long Term Outcomes ◽  
Intersphincteric Fistula

scholarly journals Complex anal fistulae management by combined technique approach: an experience

2018 ◽  
Vol 5 (4) ◽  
pp. 1454
Author(s):  
Shaileshkumar M. E. ◽  
Sushanth P. T.
Keyword(s):  
Anal Fistula ◽  
Functional Disability ◽  
Fistula Tract ◽  
Complex Anal Fistula ◽  
Source Of Infection ◽  
Fistula Plug ◽  
Intersphincteric Fistula ◽  
Cutting Seton ◽  
A Prospective Study ◽  
Combined Technique

Background: The aim of this study is to evaluate our experience in the management of complex anal fistulae by combined technique approach. Ideal surgical treatment for complex anal fistula should aim to eradicate the source of infection and promote healing of the tract, while preserving the sphincters and the mechanism of anal continence. Even with the evolving newer techniques complex anal fistulae have higher rates of recurrence and functional disability as anal incontinence. The requirement of multiple surgeries for recurrence and the newer techniques like anal fistula plug are expensive and will become a burden for patients living in developing countries like ours. Thus, apart from Ligation of Intersphincteric fistula tract, the use of cutting seton is the main surgical method practiced here. This article focuses on the approach to the complex anal fistula management through evidence-based treatment strategies.Methods: Author conducted a prospective study of 35 complex anal fistulae patients undergoing combined technique approach with cutting Seton, Ligation of Intersphincteric Fistula tract and fistulotomy. Results: All patients recovered well with no complications in postoperative period. After 2 years of follow up patients are recurrence free and only 2 patients had partial incontinence with improving trend.Conclusions: The use of cutting Seton in high anal fistula is an effective technique. LIFT technique is good for Transphincteric tracts without previous scarring; it can be easily learned and applied. We can conclude that combined technique was an effective procedure and valid alternative for complex anal fistula management.

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