Système gastro-intestinal et digestif

Abstrait

Clinical Experience with Lift Technique For Complex Anal Fistulas

Erdinc Cetinkaya, Bekir Bulut, Siyar Ersoz, Cem Emir Guldogan, Ozgur Akgul, Bulent Cavit Yuksel, Ahmet Kessaf Aslar

Aim: In this study we aimed to assess the results of LIFT technique for the patients with complex anal fistula in our colorectal unit.

Methods: A total of 24 consecutive patients with complex anal fistula were recruited in our prospective study between January 2014 and July 2014. Outcome measures included presence of recurrence, fecal incontinence and surgical complications.

Results: We enrolled 24 patients with a mean age of 40.5 (range 16-69) years,ten of the patients had recurrent fistulas and 14 were newly diagnosed. Mean follow-up was 4 months. Successful fistula repair was achieved in the 87.5% of the patients, 3 patients had failure at the follow-up. No incontinence was observed in any of the patients.

Conclusion: Ligation of the intersphincteric tract is a novel sphincter-preserving method for complex anal fistulas. As a simple, safe, cost-effective procedure with high success rates it could be candidate for being the gold standart method for complex anal fistulas.