Evaluating the Benefits of Lift Procedure for Fistula in Ano: A Peripheral Centre Experience

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Year : July 20, 2024 at 12:20 pm | [if 1553 equals=””] Volume :13 [else] Volume :13[/if 1553] | [if 424 equals=”Regular Issue”]Issue[/if 424][if 424 equals=”Special Issue”]Special Issue[/if 424] [if 424 equals=”Conference”][/if 424] : 02 | Page : 17-20

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Gurmeet Singh Sarla, Zenith Mohanty,

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Abstract

nIntroduction: Surgery is considered the only definitive treatment for anal fistula. Many surgical techniques have been described. The aim of this study was to communicate the authors’ preliminary experience in the use of a very recent, simplified technique, at a peripheral surgical centre. Patients And Methods: This was a retrospective study of 10 patients of Fistula-in-ano admitted from October 2021 through September 2023. Patients were managed with the ligation of inter-sphincteric fistula tract (LIFT) technique and results were observed and documented, including operative time and ease, wound healing and postoperative complications. Results: A total of 10 patients were studied. The mean operation time was 32.5 minutes (range 27 to 41 minutes), and there were no intra- and postoperative complications. The overall mean complete healing time was 21.1 days with range 19-25 days, and the recurrence and complication rate was 0%. Follow-up was conducted at 1 & 3 months. Conclusion: Many surgical techniques have been described for the treatment of anal fistula. The correct choice of surgical technique out of available procedures is the most important factor for proper treatment and reducing the risk of recurrence or incontinence. In the authors’ experience, the LIFT is simple, easy to learn & replicable technique, and is a good choice for the treatment of simple anal fistula especially at a peripheral or rural set-up; however, a tailored surgery remains the gold standard for this condition

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Keywords: Fistula-in-ano, LIFT, Inter-spincteric fistula, surgery, fistulogram

n[if 424 equals=”Regular Issue”][This article belongs to Research & Reviews : Journal of Surgery(rrjos)]

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[/if 424][if 424 equals=”Special Issue”][This article belongs to Special Issue under section in Research & Reviews : Journal of Surgery(rrjos)][/if 424][if 424 equals=”Conference”]This article belongs to Conference [/if 424]

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How to cite this article: Gurmeet Singh Sarla, Zenith Mohanty. Evaluating the Benefits of Lift Procedure for Fistula in Ano: A Peripheral Centre Experience. Research & Reviews : Journal of Surgery. June 25, 2024; 13(02):17-20.

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How to cite this URL: Gurmeet Singh Sarla, Zenith Mohanty. Evaluating the Benefits of Lift Procedure for Fistula in Ano: A Peripheral Centre Experience. Research & Reviews : Journal of Surgery. June 25, 2024; 13(02):17-20. Available from: https://journals.stmjournals.com/rrjos/article=June 25, 2024/view=0

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References

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  1. Cianci P, Tartaglia N, Fersini A, Giambavicchio LL, Neri V, Ambrosi A. The Ligation of Intersphincteric Fistula Tract Technique: A Preliminary Experience. Ann Coloproctol. 2019 Oct;35(5):238-241. doi: 10.3393/ac.2018.08.16.1. Epub 2019 Oct 31. PMID: 31725998; PMCID: PMC6863004.
  2. Parks AG, Gordon PH, Hardcastle JD. A classification of fistulain-ano. Br J Surg. 1976;63:1–12. [PubMed] [Google Scholar]
  3. Parks AG, Stitz RW. The treatment of high fistula-in-ano. Dis Colon Rectum. 1976;19:487–99. [PubMed] [Google Scholar]
  4. Rojanasakul A, Pattanaarun J, Sahakitrungruang C, et al. Total anal sphincter saving technique for fistula-in-ano; the ligation of intersphincteric fistula tract. J Med Assoc Thai 2007;90:581–6. [PubMed] [Google Scholar]
  5. Malakorn S, Sammour T, Khomvilai S, Chowchankit I, Gunarasa S, Kanjanasilp P, Thiptanakij C, Rojanasakul A. Ligation of Intersphincteric Fistula Tract for Fistula in Ano: Lessons Learned From a Decade of Experience. Dis Colon Rectum. 2017 Oct;60(10):1065-1070. doi: 10.1097/DCR.0000000000000880. PMID: 28891850.
  6. Kang WH, Yang HK, Chang HJ, Ko YT, Yoo BE, Lim CH, Hwang JK, Lee YC, Shin HK, Son HJ. High ligation of the anal fistula tract by lateral approach: A prospective cohort study on a modification of the ligation of the intersphincteric fistula tract (LIFT) technique. Int J Surg. 2018 Dec;60:9-14. doi: 10.1016/j.ijsu.2018.08.008. Epub 2018 Oct 19. PMID: 30343130.
  7. Zahra A, Malla J, Selvaraj R, Dhanoa RK, Venugopal S, Shoukrie SI, Selvamani TY, Hamouda RK, Hamid P. A Comparison of Different Surgical Treatments for Complex Anal Fistula: A Systematic Review. Cureus. 2022 Aug 23;14(8):e28289. doi: 10.7759/cureus.28289. PMID: 36176822; PMCID: PMC9512314.
  8. Hong KD, Kang S, Kalaskar S, Wexner SD. Ligation of intersphincteric fistula tract (LIFT) to treat anal fistula: systematic review and meta-analysis. Tech Coloproctol. 2014 Aug;18(8):685-91. doi: 10.1007/s10151-014-1183-3. Epub 2014 Jun 24. PMID: 24957361.
  9. Vergara-Fernandez O, Espino-Urbina LA. Ligation of intersphincteric fistula tract: what is the evidence in a review? World J Gastroenterol. 2013 Oct 28;19(40):6805-13. doi: 10.3748/wjg.v19.i40.6805. PMID: 24187455; PMCID: PMC3812479
  10. 10. Parthasarathi R, Gomes RM, Rajapandian S, Sathiamurthy R, Praveenraj P, Senthilnathan P, Palanivelu C. Ligation of the intersphincteric fistula tract for the treatment of fistula-in-ano: experience of a tertiary care centre in South India. Colorectal Dis. 2016 May;18(5):496-502. doi: 10.1111/codi.13162. PMID: 26476011.

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[if 424 not_equal=””]Regular Issue[else]Published[/if 424] Subscription Review Article

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Research & Reviews : Journal of Surgery

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[if 344 not_equal=””]ISSN: 2319-3425[/if 344]

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Volume 13
[if 424 equals=”Regular Issue”]Issue[/if 424][if 424 equals=”Special Issue”]Special Issue[/if 424] [if 424 equals=”Conference”][/if 424] 02
Received May 19, 2024
Accepted June 5, 2024
Published June 25, 2024

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