ISSN : 1302-7123 | E-ISSN : 1308-5123
Şişli Etfal Hastanesi Tıp Bülteni
Complex Anal Fistula: Long-Term Results of Modified Ligation of Intersphincteric Fistula Tract=LIFT [SETB]
SETB. Baskıdaki Makaleler: SETB-89106 | DOI: 10.14744/SEMB.2020.89106

Complex Anal Fistula: Long-Term Results of Modified Ligation of Intersphincteric Fistula Tract=LIFT

Mustafa Fevzi Celayir, Emre Bozkurt, Nurcihan Aygun, Mehmet Mihmanli
Department of Surgery, Sisli Hamidiye Etfal Research and Traning Hospital.

Objective:
The anal fistula is a permanent infectious tunnel formed between the anal canal and skin in the perianal region. Fistulas are treated by surgery at any stage. Many surgical methods have been reported to treat anal fistula. One of the promising surgical method with high success rate is ligation of the intersphincteric fistula tract, which is performed in anatomical spaces without damage to the internal and external sphincters.
We evaluated the success rate of a modified ligation of the intersphincteric fistula tract procedure for complex anal fistulas in which the technical differences were minimized by surgery being performed by the same surgical team.
Methods:
Data of 56 patientes were retrospectively collected. Datas regarding patient history, visual and digital anal examination, Cleveland Clinic Florida Fecal Incontinence (CCF-FI) score, anal-phase pelvic magnetic resonance imaging (MRI), rectosigmoidoscopy or colonoscopy and anal manometry were recorded. The changes in datas recorded during preoperative and postoperative period were compared in each other.
Results:
The mean age of the patients was 41±15.5 years. The number of the patients for each fistula type compramised in this study were as follows in accordance with frequency: high transsphincteric fistula, high intersphincteric fistula, and horseshoe abscess. The fistula recurred in seven patients during postoperative follow-up and the success rate of modified LIFT was calculated as 87.5%. The change in the mean ± SD preoperative and postoperative CCF-FI scores and anal pressure were not statistically significant.
Conclusion:
One promising advantage of the ligation of the intersphincteric fistula tract procedure is that it turns a complex fistula into a simple fistula that can be treated with minimal risk of sphincter damage. (SETB-2020-06-090)

Anahtar Kelimeler: Anal fistula, Complex anal fistula, Lift, Ligation of the intersphincteric fistula tract

Complex Anal Fistula: Long-Term Results of Modified Ligation of Intersphincteric Fistula Tract=LIFT

Mustafa Fevzi Celayir, Emre Bozkurt, Nurcihan Aygun, Mehmet Mihmanli
Department of Surgery, Sisli Hamidiye Etfal Research and Traning Hospital.

Objective:
The anal fistula is a permanent infectious tunnel formed between the anal canal and skin in the perianal region. Fistulas are treated by surgery at any stage. Many surgical methods have been reported to treat anal fistula. One of the promising surgical method with high success rate is ligation of the intersphincteric fistula tract, which is performed in anatomical spaces without damage to the internal and external sphincters.
We evaluated the success rate of a modified ligation of the intersphincteric fistula tract procedure for complex anal fistulas in which the technical differences were minimized by surgery being performed by the same surgical team.
Methods:
Data of 56 patientes were retrospectively collected. Datas regarding patient history, visual and digital anal examination, Cleveland Clinic Florida Fecal Incontinence (CCF-FI) score, anal-phase pelvic magnetic resonance imaging (MRI), rectosigmoidoscopy or colonoscopy and anal manometry were recorded. The changes in datas recorded during preoperative and postoperative period were compared in each other.
Results:
The mean age of the patients was 41±15.5 years. The number of the patients for each fistula type compramised in this study were as follows in accordance with frequency: high transsphincteric fistula, high intersphincteric fistula, and horseshoe abscess. The fistula recurred in seven patients during postoperative follow-up and the success rate of modified LIFT was calculated as 87.5%. The change in the mean ± SD preoperative and postoperative CCF-FI scores and anal pressure were not statistically significant.
Conclusion:
One promising advantage of the ligation of the intersphincteric fistula tract procedure is that it turns a complex fistula into a simple fistula that can be treated with minimal risk of sphincter damage.

Keywords: Anal fistula, Complex anal fistula, Lift, Ligation of the intersphincteric fistula tract



Sorumlu Yazar: Mustafa Fevzi Celayir
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