Ligation of fistulas of rectum in intersphincteric layer: the pilot study
Abstract
Aim of investigation. Ligation of fistulous tract in intersphincteric layer (Ligation of Intersphincteric Fistula Tract – LIFT) – is a new method of surgical treatment of trans- and extrasphincter fistulas. It is obviously important to estimate LIFT results according to original experience and literature data.
Material and methods. LIFT technique is described. Overall 19 patients were operated: men – 11, women – 8, mean age 48±13 years (26 to 74 years). Ten patients had anterior transsphincteric fistula, anterior extrasphincter — 4, posterior transsphincteric – 1, posterior extrasphincter – 4.
Results. The median of term of follow-up was 42 wks (3 to 105 wks). The relapse of fistula was is marked in 2 patients. No disorders of fecal continence were revealed. At the moment of article submission literature data on LIFT results in 353 patients were available. The relapse rate at follow-up for 20–30 wks was 26%.
Conclusion. LIFT – is the simple, safe and effective method of treatment trans- and extrasphincter fistulas of the rectum.
About the Authors
M. N. Chekanov
ГБОУ ВПО «Новосибирский государственный медицинский университет Минздравсоцразвития РФ»
Russian Federation
Russian Federation
A. M. Chekanov
ГБОУ ВПО «Новосибирский государственный медицинский университет Минздравсоцразвития РФ»
Russian Federation
Russian Federation
I. G. Verner
ГБОУ ВПО «Новосибирский государственный медицинский университет Минздравсоцразвития РФ»
Russian Federation
Russian Federation
References
1. Aboulian A., Kaji A.H., Kumar R.R. Early result of ligation of the intersphincteric fistula tract for fistulain-ano // Dis. Colon. Rectum. – 2011. – Vol. 54. – P. 289–292.
2. Bleier J.I., Moloo H., Goldberg S.M. Ligation of the intersphincteric fistula tract: an effective new technique for complex fistulas // Dis. Colon. Rectum. – 2010. – Vol. 53. – P. 43–46.
3. Goldberg S. M. What’s new in the management of fistula-in-ano? // Tech. Coloproctol. – 2011. – Vol. 15. – P. 119–120.
4. Mitalas L.E., Van Onkelen R.S., Monkhorst K. et al. Identification of epithelialization in high transsphincteric fistulas // Tech. Coloproctol. – 2012. – Vol. 10. – P. Epub.
5. Neal Ellis C. Outcomes with the use of bioprosthetic grafts to reinforce the ligation of the intersphincteric fistula tract (BioLIFT procedure) for the management of complex anal fistulas // Dis. Colon. Rectum. – 2010. – Vol. 53. – P. 1361–1364.
6. Ooi K., Skinner I., Croxford M. et al. Managing fistulain-ano with ligation of the intersphincteric fistula tract (LIFT) procedure: The Western Hospital experience // Colorectal Dis. – 2011. – Vol. 11. – P. 599–603.
7. Rizzo J. A., Naig A.L., Johnson E.K. Anorectal Abscess and Fistula-in-Ano: Evidence-Based Management // Surg. Clin. N. Am. – 2010. – Vol. 90. – P. 45–68.
8. Rojanasakul A. LIFT procedure: a simplified technique for fistula-in-ano // Tech. Coloproctol. – 2009. – Vol. 13. – P. 237–240.
9. Rojanasakul A., Pattanaarun J., Sahakitrungruang C., Tantiphlachiva K. Total anal sphincter saving technique for fistula-in-ano; the ligation of intersphincteric fistula tract // J. Med. Assoc. Thai. – 2007. – Vol. 90. – P. 581–586.
10. Shanwani A., Nor A.M., Amri N. Ligation of the intersphincteric fistula tract (LIFT): a sphincter-saving technique for fistula-in-ano // Dis. Colon. Rectum. – 2010. – Vol. 53. – P. 39–42.
11. Sileri P., Franceschilli L., Angelucci G.P. et al. Ligation of the intersphincteric fistula tract (LIFT) to treat anal fistula: early results from a prospective observational study // Tech. Coloproctol. – 2011. – Vol. 15. – P. 413–416.
12. Tan K.K., Tan I.J., Lim F.S. et al. The anatomy of failures following the ligation of intersphincteric tract technique for anal fistula: a review of 93 patients over 4 years // Dis. Colon. Rectum. – 2011. – Vol. 54. – P. 1368–1372.
13. Van Onkelen R.S., Gosselink M.P., Schouten W.R. Is it possible to improve the outcome of transanal advancement flap repair for high transsphincteric fistulas by additional ligation of the intersphincteric fistula tract? // Dis. Colon. Rectum. – 2012. – Vol. 55. – P. 163–166.
Review
For citations:
Chekanov M.N., Chekanov A.M., Verner I.G. Ligation of fistulas of rectum in intersphincteric layer: the pilot study. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2012;22(4):81-83. (In Russ.)
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