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Management of Fistula-In-Ano with Special Reference to Ligation of Intersphincteric Fistula Tract
CONTEXT: The surgical management of fistula-in-ano is still debatable and no clear recommendations have been made available until now. The present study analyses the results of ligation of intersphincteric fistula tract (LIFT) technique in treating fistula-in-ano in particular with recurrence, heali...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4785684/ https://www.ncbi.nlm.nih.gov/pubmed/27013849 http://dx.doi.org/10.4103/1117-6806.169818 |
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author | Khadia, Mohanlal Muduli, Iswar Chandra Das, Sushanta Kumar Mallick, Sworupa Nanda Bag, Laxman Pati, Manas Ranjan |
author_facet | Khadia, Mohanlal Muduli, Iswar Chandra Das, Sushanta Kumar Mallick, Sworupa Nanda Bag, Laxman Pati, Manas Ranjan |
author_sort | Khadia, Mohanlal |
collection | PubMed |
description | CONTEXT: The surgical management of fistula-in-ano is still debatable and no clear recommendations have been made available until now. The present study analyses the results of ligation of intersphincteric fistula tract (LIFT) technique in treating fistula-in-ano in particular with recurrence, healing time, and continence status. AIMS: LIFT in the management of patients of fistula-in-ano of cryptoglandular origin. SETTINGS AND DESIGN: Prospective study. MATERIALS AND METHODS: This is a prospective study of 52 patients admitted from September 2012 to August 2014. Patients were managed with LIFT technique and results of LIFT technique were compared with other studies in terms of recurrence rate, incontinence rate, and other postoperative complications. RESULTS: A total of 52 patients were studied. Median follow-up was 24 weeks. Primary healing was achieved in 32 (71.11%) patients. Thirteen patients (28.88%) had a recurrence. No patient reported any subjective decrease incontinence after the procedure. CONCLUSIONS: LIFT technique is simple and easy to learn. With this method fistula-in-ano could be easily treated even at primary health care level. LIFT technique is a simple and novel modified approach for the treatment of fistula-in-ano with rapid healing rate and without any resultant incontinence. |
format | Online Article Text |
id | pubmed-4785684 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-47856842016-03-24 Management of Fistula-In-Ano with Special Reference to Ligation of Intersphincteric Fistula Tract Khadia, Mohanlal Muduli, Iswar Chandra Das, Sushanta Kumar Mallick, Sworupa Nanda Bag, Laxman Pati, Manas Ranjan Niger J Surg Original Article CONTEXT: The surgical management of fistula-in-ano is still debatable and no clear recommendations have been made available until now. The present study analyses the results of ligation of intersphincteric fistula tract (LIFT) technique in treating fistula-in-ano in particular with recurrence, healing time, and continence status. AIMS: LIFT in the management of patients of fistula-in-ano of cryptoglandular origin. SETTINGS AND DESIGN: Prospective study. MATERIALS AND METHODS: This is a prospective study of 52 patients admitted from September 2012 to August 2014. Patients were managed with LIFT technique and results of LIFT technique were compared with other studies in terms of recurrence rate, incontinence rate, and other postoperative complications. RESULTS: A total of 52 patients were studied. Median follow-up was 24 weeks. Primary healing was achieved in 32 (71.11%) patients. Thirteen patients (28.88%) had a recurrence. No patient reported any subjective decrease incontinence after the procedure. CONCLUSIONS: LIFT technique is simple and easy to learn. With this method fistula-in-ano could be easily treated even at primary health care level. LIFT technique is a simple and novel modified approach for the treatment of fistula-in-ano with rapid healing rate and without any resultant incontinence. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4785684/ /pubmed/27013849 http://dx.doi.org/10.4103/1117-6806.169818 Text en Copyright: © Nigerian Journal of Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Khadia, Mohanlal Muduli, Iswar Chandra Das, Sushanta Kumar Mallick, Sworupa Nanda Bag, Laxman Pati, Manas Ranjan Management of Fistula-In-Ano with Special Reference to Ligation of Intersphincteric Fistula Tract |
title | Management of Fistula-In-Ano with Special Reference to Ligation of Intersphincteric Fistula Tract |
title_full | Management of Fistula-In-Ano with Special Reference to Ligation of Intersphincteric Fistula Tract |
title_fullStr | Management of Fistula-In-Ano with Special Reference to Ligation of Intersphincteric Fistula Tract |
title_full_unstemmed | Management of Fistula-In-Ano with Special Reference to Ligation of Intersphincteric Fistula Tract |
title_short | Management of Fistula-In-Ano with Special Reference to Ligation of Intersphincteric Fistula Tract |
title_sort | management of fistula-in-ano with special reference to ligation of intersphincteric fistula tract |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4785684/ https://www.ncbi.nlm.nih.gov/pubmed/27013849 http://dx.doi.org/10.4103/1117-6806.169818 |
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