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>Journals >Cirujano General >Year 2012, Issue 2


Gutiérrez PJO, Villanueva HJA, Jiménez BB, Velasco GPS
Treatment of anal fistula by ligation of intersphincteric fistula tract with 2-0 polyglactin. Pilot study
Cir Gen 2012; 34 (2)

Language: Español
References: 30
Page: 111-115
PDF: 4. Kb.


Full text




ABSTRACT

Objective: To determine the percentage of healing and fecal continence (FC) with the technique of ligation of intersphinteric fistula tract (LIFT) with 2-0 polyglactin.
Design: Experimental, descriptive non-comparative pilot study.
Setting: Coloproctology Unit of the General Hospital of Mexico.
Statistical analysis: Results are presented in frequency and percentage tables according to each studied variable.
Patients and methods: We chose randomly and by convenience 14 patients with complex anal fistula (AF) to be treated with the LIFT technique with 2-0 polyglactin. LIFT could only be performed in 10 patients. They were followed for 3 months after surgery.
Results: LIFT could only be performed in 10 (71%) of the patients; of these, 50% did not present secondary fistulous orifice nor exudates; 80% had no pain after surgery, and 100% returned to their working activities after 2 weeks. After 3 months, five patients continued with AF. Of the 10 patients subjected to LIFT, none presented fecal incontinence.
Conclusion: LIFT with 2-0 polyglactin is a safe procedure; it was possible to performe the procedure in 71% of the chosen candidates, with a good healing efficacy in 50% of the patients.


Key words: Anal fistula, sphincter-saving operation, ligation.


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