Managing fistula‐in‐ano with ligation of the intersphincteric fistula tract procedure: the Western Hospital experience

Abstract

The LIFT procedure has favourable healing rates with little or no risk of incontinence. This operation is safe and easy to learn. The early results from this pilot study show promise and affirm some of the findings of other researchers. These results will suggest opportunities to conduct further controlled studies comparing the LIFT procedure with standard therapies.

Does Ligation of the Intersphincteric Fistula Tract Raise the Bar in Fistula Surgery?

“…We demonstrate a success rate of 40%, which is lower than the 60% to 80% success rate reported in previous studies. 15,[17][18][19] However, the success rate including patients who underwent reoperation with an intersphincteric fistulotomy or a second LIFT procedure was 57%. Our previously published initial experience with the LIFT procedure demonstrated successful fistula closure in 57% of patients.…”

Controversies in Fistula in Ano

“…(ligation of inter-sphincteric fistula tract) [22]. Subsequent studies have revealed an healing rate ranging from 68 % to 83 % with an average healing time from 6 to 7 weeks [23][24][25][26]. Since it is a sphincter sparing procedure, LIFT has now become a very popular surgery worldwide.…”

Outcomes of Lift Versus Seton in Complex Fistula-in-Ano- A Comparative Study

“…Two studies, Han et al 15 and Ooi et al 14 reported healing time of 4 weeks and 6 weeks respectively in patients undergoing LIFT procedure. Misra and Kapur 16 used an outpatient cutting seton technique with stainless steel wire in 56 patients.…”

“…Ooi et al 14 conducted a trial including 25 patients out of which 18 patients (72%) had transsphincteric tract and 24% had intersphincteric tract.…”