alexa Total anal sphincter saving technique for fistula-in-ano; the ligation of intersphincteric fistula tract.


Journal of Gastrointestinal & Digestive System

Author(s): Rojanasakul A, Pattanaarun J, Sahakitrungruang C, Tantiphlachiva K

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Abstract OBJECTIVE: To describe a new technique for fistula-in-ano surgery aimed at total sphincter preservation, and evaluate the preliminary results concerning non-healing and intact anal function. MATERIAL AND METHOD: A prospective observational study in eighteen fistula-in-ano patients treated by ligation of intersphincteric fistula tract (LIFT) technique, from January to June 2006. RESULTS: Fistula-in-ano in seventeen patients healed primarily (94.4\%). There was one non-healing case (5.6\%). The mean healing time was four weeks. None had disturbances in clinical anal continence. CONCLUSION: The early outcome of the LIFT technique is quite impressive. Results warrant a larger study with long-term evaluation. This technique has the potential to become a viable option for fistula-in-ano surgery.
This article was published in J Med Assoc Thai and referenced in Journal of Gastrointestinal & Digestive System

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