A Cross-Sectional Study on Long-Term Effects of Ligation of Inter-Sphincteric Fistula Tract (LIFT) for Treating Trans-Sphincteric Anal Fistula

Authors

  • Jai Prakash Sinha Assistant Professor, Department of Surgery, J.L.N.M.C.H., Bhagalpur, Bihar, India
  • Kunal  Professor, Department of Surgery, J.L.N.M.C.H., Bhagalpur, Bihar, India.

Keywords:

LIFT Procedure, Trans-Sphincteric Anal Fistula, Sphincter Preservation, Healing Rates, Surgical Outcomes

Abstract

Background: The Ligation of Inter-Sphincteric Fistula Tract (LIFT) procedure represents a significant advancement in the treatment of trans-sphincteric anal fistulas (TSAF), balancing effective treatment with the preservation of sphincter integrity. The technique primarily aims to maintain continence while achieving a high rate of healing by identifying and ligating the fistula tract within the intersphincteric space, thereby minimizing damage to the sphincter muscles. The study seeks to estimate the long-term efficacy and outcomes of the LIFT procedure as a management strategy for TSAF.

Methods: A cross-sectional study was carried out and involved sixty participants with trans-sphincteric peri-anal fistulas of cryptoglandular origin confirmed by MRI fistulogram were included. The surgical procedure involved identifying, ligating, transecting, and excising the fistula tract within the inter-sphincteric space. Data on peri-operative infection rates, healing time, discomfort levels, fecal continence, and recurrence rates were collected and analyzed using SPSS software version 22.

Results: The study included 60 participants (40 males, 20 females) with an average age of 42.5 years. The average healing time post-surgery was 32.4 days. The peri-operative infection rate was 8.3%, and the recurrence rate was 5%. No significant changes were noted in fecal continence post-surgery. The degree of discomfort and recovery time had a strong positive link, according to Pearson's correlation test.

Conclusion: The LIFT procedure is an effective and safe treatment option for TSAF, demonstrating high healing rates, low recurrence, and preservation of continence.

Recommendations: Future research should explore modifications of the LIFT technique to further reduce discomfort and improve healing times. Long-term follow-up studies are recommended to assess the durability of surgical outcomes.

Published

2024-06-30

How to Cite

Jai Prakash Sinha, & Kunal. (2024). A Cross-Sectional Study on Long-Term Effects of Ligation of Inter-Sphincteric Fistula Tract (LIFT) for Treating Trans-Sphincteric Anal Fistula. Student’s Journal of Health Research Africa, 5(6). Retrieved from https://sjhresearchafrica.org/index.php/public-html/article/view/1251

Issue

Section

Section of Anesthesia and Surgery Research