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

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.

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@article{Rojanasakul2007TotalAS, title={Total anal sphincter saving technique for fistula-in-ano; the ligation of intersphincteric fistula tract.}, author={Arun Rojanasakul and Jirawat Pattanaarun and Chucheep Sahakitrungruang and Kasaya Tantiphlachiva}, journal={Journal of the Medical Association of Thailand = Chotmaihet thangphaet}, year={2007}, volume={90 3}, pages={581-6} }