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364684

The effectiveness of the ligation of intersphincteric fistula tract technique in the treatment of simple trans-sphincteric anal fistula

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Last updated: 29 Dec 2024

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Abstract

Background
The best cure for anal fistula, while maintaining the anal sphincter complex and complete continence, should remove inflammation and facilitate healing of the tract. The primary cure for anal fistula is surgery. There have been several surgical techniques mentioned. Intersphincteric fistula tract [ligation of the intersphincteric fistula tract (LIFT)] ligation, with the benefit of reducing anal incontinence, is a novel surgical technique. The low probability of an impaired sphincter function is one of the key benefits of the procedure.
Aim
To analyze the success rate of LIFT for patients with anal fistulas.
Patients and methods
From December 2017 to June 2019, 20 patients were added to this longitudinal study. Patients were treated with intersphincteric fistula (LIFT) technique, and effects were observed and reported, including recurrence rate, incontinence rate, and other postoperative complications. A follow-up cycle of up to 12 months has been completed.
Results
A total of 20 patients have been examined. The mean operation time was 39 min (range, 25–55 min), and there were no intraoperative complications. The average full healing rate was 90% and the recurrence rate was 10%. No patients have experienced incontinence.
Conclusions
LIFT technique is an effective method in the treatment of anal fistula with reduced risk of recurrence and anal incontinence.

DOI

10.4103/ejs.ejs_275_20

Keywords

Anal fistula, Anal Incontinence, Fistula-in-ano, ligation of the intersphincteric fistula tract procedure

Authors

First Name

Ahmed M.

Last Name

Rashad

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First Name

Hassan R.

Last Name

Taha

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Orcid

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First Name

Hesham A.

Last Name

Nafady

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Volume

40

Article Issue

1

Related Issue

48963

Issue Date

2021-05-01

Receive Date

2020-09-30

Publish Date

2021-05-18

Print ISSN

1110-1121

Online ISSN

1687-7624

Link

https://ejsur.journals.ekb.eg/article_364684.html

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https://ejsur.journals.ekb.eg/service?article_code=364684

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364,684

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

The effectiveness of the ligation of intersphincteric fistula tract technique in the treatment of simple trans-sphincteric anal fistula

Details

Type

Article

Created At

21 Dec 2024