Ligation of the Intersphincteric Fistula Tract as an Emergency Treatment for Cryptoglandular Anal Fistula
© Penerbit Universiti Sains Malaysia, 2024..
Introduction: Ligation of the intersphincteric fistula tract (LIFT) is a sphincter-preserving procedure for treating anal fistula of cryptoglandular origin. Our prospective study aimed to determine the postoperative outcomes of patients undergoing LIFT in emergency and elective settings.
Methods: This was a single-centre prospective observational study of the LIFT procedure for the treatment of anal fistulas. The differences in the 6-month postoperative outcomes between the emergency and elective procedures were analysed, including the healing rate, healing time, recurrence rate, recurrence time, postoperative complications and length of hospital stay.
Results: Twenty-two patients were recruited for this study: 11 patients underwent LIFT as an emergency procedure (EM-LIFT), while the others underwent LIFT as an elective procedure (EL-LIFT). The healing rate for the EM-LIFT group was 90.9% (n = 10), with a median healing time of 2 months (range 0.5-4). For the EL-LIFT group, the healing rate was 100% (n = 11), with the same median healing time of 2 months (range 0.5-4). Two of the patients in the EM-LIFT group developed recurrence, with a median recurrence time of 5 months (range 4-6) and three developed recurrence in the EL-LIFT group, with the same median recurrence time of 5 months (range 4-6). There were minor postoperative complications of pain and subcutaneous infection, with no faecal incontinence. There was no statistically significant difference in postoperative outcomes between the groups.
Conclusion: EM-LIFT is a feasible and safe primary procedure for active cryptoglandular-type anal fistulas.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:31 |
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| Enthalten in: |
The Malaysian journal of medical sciences : MJMS - 31(2024), 1 vom: 26. Feb., Seite 62-70 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Dualim, Diana Melissa [VerfasserIn] |
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| Links: |
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| Themen: |
Abscess |
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| Anmerkungen: |
Date Revised 09.03.2024 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
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| doi: |
10.21315/mjms2024.31.1.5 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM369458532 |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a © Penerbit Universiti Sains Malaysia, 2024. | ||
| 520 | |a Introduction: Ligation of the intersphincteric fistula tract (LIFT) is a sphincter-preserving procedure for treating anal fistula of cryptoglandular origin. Our prospective study aimed to determine the postoperative outcomes of patients undergoing LIFT in emergency and elective settings | ||
| 520 | |a Methods: This was a single-centre prospective observational study of the LIFT procedure for the treatment of anal fistulas. The differences in the 6-month postoperative outcomes between the emergency and elective procedures were analysed, including the healing rate, healing time, recurrence rate, recurrence time, postoperative complications and length of hospital stay | ||
| 520 | |a Results: Twenty-two patients were recruited for this study: 11 patients underwent LIFT as an emergency procedure (EM-LIFT), while the others underwent LIFT as an elective procedure (EL-LIFT). The healing rate for the EM-LIFT group was 90.9% (n = 10), with a median healing time of 2 months (range 0.5-4). For the EL-LIFT group, the healing rate was 100% (n = 11), with the same median healing time of 2 months (range 0.5-4). Two of the patients in the EM-LIFT group developed recurrence, with a median recurrence time of 5 months (range 4-6) and three developed recurrence in the EL-LIFT group, with the same median recurrence time of 5 months (range 4-6). There were minor postoperative complications of pain and subcutaneous infection, with no faecal incontinence. There was no statistically significant difference in postoperative outcomes between the groups | ||
| 520 | |a Conclusion: EM-LIFT is a feasible and safe primary procedure for active cryptoglandular-type anal fistulas | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a abscess | |
| 650 | 4 | |a anal fistula | |
| 650 | 4 | |a elective surgical procedures | |
| 650 | 4 | |a emergency treatment | |
| 650 | 4 | |a ligation | |
| 700 | 1 | |a Wong, Michael Pak-Kai |e verfasserin |4 aut | |
| 700 | 1 | |a Rusli, Siti Mayuha |e verfasserin |4 aut | |
| 700 | 1 | |a Elnaim Ali, Abdel Latif Khalifa |e verfasserin |4 aut | |
| 700 | 1 | |a Sagap, Ismail |e verfasserin |4 aut | |
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