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ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2011, Number S1

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Cir Gen 2011; 33 (S1)

LIFT en el tratamiento de la fístula anal

Vargas-de la Llata R

Language: Spanish
References: 7
Page: 93-95
PDF size: 191.95 Kb.


ABSTRACT

Fistula-in-ano is one of the most frequent diseases in colorectal consultation. The treatment is always surgical and the fistulotomy resolves most cases with a good success rate. The so-called complex fistula-in-ano require extensively knowledge of the anatomy of the anal region in order to decide if surgery is needed without causing recurrence or incontinence or to use any other alternative methods using endorectal advancement flaps, the use of biodegradable materials, the traditional seton and more recently the denominated LIFT (ligation of intersphincteric fistula tract), although with less chance of success, would solve several fistula cases without altering of the continence mechanism.
Even though there are still very few publications about the use of LIFT in fistula-in-ano, there has been generating worldwide interest about this procedure, which breaks the paradigm of always treating the causal crypt, this is why we present the review of this articles, in order to know the current success with its use.


REFERENCES

  1. Rojanasakul A, Pattanaarun J, Sahakitrungruang C, Tantiphlachiva K. Total anal sphincter saving technique for fistula-in-ano; the ligation of intersphincteric fistula tract. J Med Assoc Thai 2007; 90: 581-6.

  2. Rojanasakul A. LIFT procedure: a simplified technique for fistula-in-ano. How I do it. Tech Coloproctol 2009; 13: 2333777-40.

  3. Bleier J, Moloo H, Goldberg S. Ligation of the intersphincteric fistula tract (lift): an effective new technique for complex fistulae. Dis Colon Rectum 2010; 53: 43-46.

  4. Shanwani A, Azmi M, Amri N. The ligation of intersphinteric fístula tract (lift) for fistula-in-ano: sphincter saving technique. Dis Colon Rectum 2010; 53: 39-42.

  5. Aboulian A, Kari A, Kumar R. Early results of ligation of intersphinteric fistula tract for fistula in ano. Dis Colon Rectum 2010; 53: 4-553.

  6. Tan K, Tan I, Koh D, Tsang C. Long-term results of ligation of the intersphinteric fistula tract (lift) technique in the management of anal fistula. Dis Colon Rectum 2010; 53: 4-577.

  7. Jacob TJ, Perakath B, Keighley MR. Surgical intervention for anorectal fistula. Cochrane Database Syst Rev 2010; 12: CD006319.




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