Authors :
Dr. Mir Rasekh Alam Ovi; Dr. Shamima Nasrin; Dr. Md. Musab Khalil; Dr. Farhan Imtiaz Chowdhury
Volume/Issue :
Volume 5 - 2020, Issue 8 - August
Google Scholar :
http://bitly.ws/9nMw
Scribd :
https://bit.ly/2Gbramo
DOI :
10.38124/IJISRT20AUG348
Abstract :
A new sphincter-saving procedure involving the
ligation of the intersphincteric fistula tract (LIFT)
procedure was recently described by Rojanasakul et al
from Thailand. The main concept in the LIFT is to identify
the fistula tract in the intersphincteric space and the
subsequent ligation and division of the tract. Some studies
abroad have shown a considerably high success rate in
terms of wound healing and absence of incontinence in
treating fistula-in-ano by this procedure. This study aimed
to compare between the earlier fistulectomy and this new
innovative LIFT technique.
The study was designed as a comparative type of
observational study conducted at Dhaka Medical College
Hospital, Dhaka and Popular Medical College Hospital
from January 2014 to December 2014. Study was carried
out on 40 hospital admitted patients with uncomplicated
Fistula-in-ano, irrespective of age and sex. LIFT and
fistulectomy was the procedure as operative treatment for
their disease. Outpatient follow-up was undertaken.
In our study, 30 (75%) male and 10 (25%) female
patients were operated with a male to female ratio 3: 1.
Mean age was 37.3 years. Vast majority of the cases i.e 23
fistula (68%) was inter-sphincteric type and the rest 17
(32%) were trans-sphincteric type. Fistulectomy took less
time than LIFT. Spinal Headache was the most common
complication 7.5% (3 cases). No difference was found in
comparison to wound healing. (p =00.18). LIFT was
found better than fistulectomy regarding post-operative
incontinence (p =0.008). LIFT was found better in term
of recurrence (p = 0.04) than fistulectomy but in long
term there is no difference (p=0.3).
In treatment of uncomplicated perianal fistula LIFT
has no benefit over fistulectomy
A new sphincter-saving procedure involving the
ligation of the intersphincteric fistula tract (LIFT)
procedure was recently described by Rojanasakul et al
from Thailand. The main concept in the LIFT is to identify
the fistula tract in the intersphincteric space and the
subsequent ligation and division of the tract. Some studies
abroad have shown a considerably high success rate in
terms of wound healing and absence of incontinence in
treating fistula-in-ano by this procedure. This study aimed
to compare between the earlier fistulectomy and this new
innovative LIFT technique.
The study was designed as a comparative type of
observational study conducted at Dhaka Medical College
Hospital, Dhaka and Popular Medical College Hospital
from January 2014 to December 2014. Study was carried
out on 40 hospital admitted patients with uncomplicated
Fistula-in-ano, irrespective of age and sex. LIFT and
fistulectomy was the procedure as operative treatment for
their disease. Outpatient follow-up was undertaken.
In our study, 30 (75%) male and 10 (25%) female
patients were operated with a male to female ratio 3: 1.
Mean age was 37.3 years. Vast majority of the cases i.e 23
fistula (68%) was inter-sphincteric type and the rest 17
(32%) were trans-sphincteric type. Fistulectomy took less
time than LIFT. Spinal Headache was the most common
complication 7.5% (3 cases). No difference was found in
comparison to wound healing. (p =00.18). LIFT was
found better than fistulectomy regarding post-operative
incontinence (p =0.008). LIFT was found better in term
of recurrence (p = 0.04) than fistulectomy but in long
term there is no difference (p=0.3).
In treatment of uncomplicated perianal fistula LIFT
has no benefit over fistulectomy
