scholarly journals Efficacy and safety of ligation of intersphincteric fistula tract in the treatment of anal fistula

Medicine ◽  
2021 ◽  
Vol 100 (4) ◽  
pp. e23700
Author(s):  
Jiaji Zhang ◽  
Xilu Hao ◽  
Yican Zhu ◽  
Ronggang Luan
Keyword(s):  
Anal Fistula ◽  
Fistula Tract ◽  
Efficacy And Safety ◽  
Intersphincteric Fistula

scholarly journals The Use of Seton as a Bridge to Definitive Ligation of the Intersphincteric Fistula Tract Procedure for Fistula-in-ano: A Systematic Review and Meta-analysis

2021 ◽  
Author(s):  
Carlos Placer-Galán ◽  
Jose Mª Enriquez-Navascués ◽  
Tania Pastor-Bonel ◽  
Ignacio Aguirre-Allende ◽  
Yolanda Saralegui-Ansorena
Keyword(s):  
Systematic Review ◽  
Anal Fistula ◽  
Meta Analysis ◽  
Fistula Tract ◽  
Cochrane Library ◽  
Fistula In Ano ◽  
Intersphincteric Fistula ◽  
The Impact ◽  
Seton Placement ◽  
Primary Healing

Abstract Background There is still controversy over the usefulness of seton placement prior to the ligation of the intersphincteric fistula tract (LIFT) surgery in the management of anal fistula. Objective To evaluate the impact of preoperative seton placement on the outcomes of LIFT surgery for the management of fistula-in-ano. Design systematic review and meta-analysis. Data Sources A search was performed on the MEDLINE (PubMed), EMBASE, Scopus, Web of Science, Cochrane Library and Google Scholar databases. Study Selection Original studies without language restriction reporting the primary healing rates with and without seton placement as a bridge to definitive LIFT surgery were included. Intervention The intervention assessed was the LIFT with and without prior seton placement. Main Outcome Measures The main outcome was defined as the primary healing rate with and without the use of seton as a bridge to definitive LIFT surgery. Results Ten studies met the criteria for systematic review, all retrospective, with a pooled study population of 772 patients. There were no significant differences in the percentages of recurrence between patients with and without seton placement (odds ratio [OR] 1.02; 95% confidence interval [CI] 0.73–1.43: p = 0.35). The I2 value was 9%, which shows the homogeneity of the results among the analyzed studies. The 10 included studies demonstrated a weighted average overall recurrence of 38% (interquartile range [IQR] 27–42.7%), recurrence with the use of seton was 40% (IQR 26.6–51.2%), and without its use, the recurrence rate was 51.3% (IQR 31.3–51.3%) Limitations The levels of evidence found in the available literature were relatively fair, as indicated after qualitative evaluation using the Newcastle-Ottawa scale and the Attitude Heading Reference System (AHRS) evidence levels. Conclusions Our meta-analysis suggests that the placement of seton as a bridge treatment prior to LIFT surgery does not significantly improve long-term anal fistula healing outcomes. Ligation of the intersphincteric fistula tract surgery can be performed safely and effectively with no previous seton placement.International prospective register of systematic reviews—PROSPERO registration number: CDR42020149173.

scholarly journals Effectiveness of the ligation of intersphincteric fistula tract (LIFT) in the treatment of anal fistula: initial results

2014 ◽  
Vol 27 (2) ◽  
pp. 101-103 ◽  
Author(s):  
Sergio Danilo Tanahara TOMIYOSHI ◽  
Carlos Henrique Marques DOS SANTOS
Keyword(s):  
Fecal Incontinence ◽  
Anal Fistula ◽  
Anorectal Manometry ◽  
Fistulous Tract ◽  
Complete Healing ◽  
Fistula Tract ◽  
Anal Fistulas ◽  
Intersphincteric Fistula ◽  
The Mean ◽  
Initial Results

BACKGROUND: The abscesses and anal fistulas represent about 70% of perianal suppuration, with an estimated incidence of 1/10000 inhabitants per year and representing 5% of queries in coloproctology. AIM: To evaluate the effectiveness of the interesphincteric ligation technique of the fistulous tract in the treatment of anal fistula. METHODS: The records of eight patients who underwent this technique, evaluating age, gender and presence of incontinence were studied. Was named technical first-step the passage of cotton thread to promote the correct individualization of the fistula and, as the second, the surgical procedure. RESULTS: Two patients were men and eight women. The mean age was 42.8 years. Of these, seven (87.5%) had complete healing of the fistula; six were cured only with this procedure and one required additional operation with simple fistulotomy. Only one patient developed fecal incontinence which was documented by anorectal manometry. There were no deaths in this series. CONCLUSION: The interesphincteric ligation technique of the fistulous tract proved to be effective for the treatment of anal fistula and should not be discouraged despite the occurrence of eventual fecal incontinence.

Tu1763 Results of Ligation of Intersphincteric Fistula Tract and Advancement Flap for Treatment of Complex Transsphincteric Anal Fistula: Anatomy of the Recurrence

2015 ◽  
Vol 148 (4) ◽  
pp. S-1176
Author(s):  
Darcy Shaw ◽  
Charles Ternent ◽  
Sean Langenfeld ◽  
Garnet Blatchford ◽  
Jennifer S. Beaty ◽  
...  
Keyword(s):  
Anal Fistula ◽  
Advancement Flap ◽  
Fistula Tract ◽  
Intersphincteric Fistula

Ligation of Intersphincteric Fistula Tract (LIFT): Outcome and Continence Issues in Complex Anal Fistula

2017 ◽  
Vol 8 (1) ◽  
pp. 33-37
Author(s):  
Arshad Ahmad ◽  
◽  
Ravi Kumar ◽  
Suresh Kumar ◽  
Abhinav Arun Sonkar ◽  
...  
Keyword(s):  
Anal Fistula ◽  
Fistula Tract ◽  
Complex Anal Fistula ◽  
Intersphincteric Fistula

Video-Assisted Modified Ligation of the Intersphincteric Fistula Tract, an Integration of 2 Minimally Invasive Techniques for the Treatment of Parks Type II Anal Fistulas

2020 ◽  
pp. 155335062097802
Author(s):  
Yi-Feng Wu ◽  
Bi-Chun Zheng ◽  
Quan Chen ◽  
Xu-Dong Chen ◽  
Shao-Shun Ye ◽  
...  
Keyword(s):  
Anal Fistula ◽  
Test Group ◽  
Severity Index ◽  
Fistula Tract ◽  
Control Group ◽  
Type Ii ◽  
Anal Fistulas ◽  
Video Assisted ◽  
Significant Difference ◽  
Intersphincteric Fistula

Introduction. Complex anal fistula (CAF) is a challenging anorectal condition. Although numerous treatments for its management have been proposed, none is ideal. Herein, we investigated the clinical efficacy of video-assisted modified ligation of the intersphincteric fistula tract (LIFT) in comparison with the incision-thread-drawing procedure for Parks type II anal fistulas. Methods. Male and female adult patients with Parks type II anal fistula who were randomized to receive one of two procedures in the Anorectal Surgery Unit of the Affiliated People’s Hospital of Ningbo University: video-assisted modified LIFT (test group, 30 cases) or incision thread drawing (control group, 30 cases). Healing and recurrence, postoperative pain, and postoperative autonomous anal control ability were compared. Results. In the test group, the pain scores were significantly lower ( P = .001) and wound healing was faster ( P = .001). However, there were no marked differences between groups in operative efficacy or postoperative infection rate (all P > .05). We followed all the patients for more than 18 months, with the test group having lower Jorge–Wexner incontinence ( P = .005) and fecal incontinence (FI) severity index ( P = .000) scores. No significant difference in recurrence ( χ2 = .351, P = .554) or healing ( χ2 = 1.071, P = .301) rate was found between the 2 groups. Conclusions. We established that video-assisted modified LIFT is superior in repairing Parks type II anal fistulas, with less trauma, quicker recovery, and better anal function.

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
Sign in / Sign up

Export Citation Format

Share Document