Lift Technique for Fistula in ANO with Redefined Criteria – A Step towards Better Outcome

Objective: To reemphasize LIFT technique for fistula in ano with redefined inclusion and exclusion criteria developed by Thai surgeon Arun Rojanasakul & to standardize the procedure for our setting. Material & Method: A prospective observational study in 32 fistula in ano patients treated by LIFT technique from Sept 2011 to March 2013. Result: Fistula in ano healed primarily in all 32 patients as inclusion and exclusion criteria were strictly observed. Average healing time was around 4-6 weeks. 1 fistula took around 8wks to heal as the patient had immunocompromised status. Conclusion: Results of standardized lift technique are impressive & this technique can be implemented widely for treatment of fistula in ano provided inclusion & exclusion criteria are strictly observed. Keyword: LIFT TECHNIQUE, FISTULA IN ANO, ARUN ROJANASAKUL.

[1]  K. Song.  New Techniques for Treating an Anal Fistula , 2012, Journal of the Korean Society of Coloproctology.

[2]  P. Sangar.  Fistula-in-ano: How I Do the LIFT Procedure , 2012 .

[3]  L. Mori,et al.  Video-assisted anal fistula treatment (VAAFT): a novel sphincter-saving procedure for treating complex anal fistulas , 2011, Techniques in Coloproctology.

[4]  I. Giani,et al.  Why do we have to review our experience in managing cases with idiopathic fistula-in-ano regularly? , 2011, World journal of gastroenterology.

[5]  P. Lunniss.  LIFT procedure: a simplified technique for fistula-in-ano , 2009, Techniques in Coloproctology.

[6]  C. Sahakitrungruang,et al.  Total anal sphincter saving technique for fistula-in-ano; the ligation of intersphincteric fistula tract. , 2007, Journal of the Medical Association of Thailand = Chotmaihet thangphaet.

[7]  J. Tjandra,et al.  Practice Parameters for the Treatment of Perianal Abscess and Fistula-in-Ano  (Revised) , 2005, Diseases of the colon and rectum.

[8]  A. Köhler,et al.  The Direct Closure of the Internal Fistula Opening Without Advancement Flap for Transsphincteric Fistulas-in-Ano , 2004, Diseases of the colon and rectum.

[9]  U. Gustafsson,et al.  Excision of Anal Fistula With Closure of the Internal Opening , 2002, Diseases of the colon and rectum.

[10]  J. Briel,et al.  Anocutaneous advancement flap repair of transsphincteric fistulas , 2001, Diseases of the colon and rectum.

[11]  J. Briel,et al.  Transanal advancement flap repair of transsphincteric fistulas , 1999, Diseases of the colon and rectum.

[12]  A. Dziki,et al.  Seton treatment of anal fistula: experience with a new modification. , 2003, The European journal of surgery = Acta chirurgica.

[13]  J. Garcia-Aguilar,et al.  Cutting seton versus two‐stage seton fistulotomy in the surgical management of high anal fistula , 1998, The British journal of surgery.

[14]  M. Starlinger,et al.  Functional results after transanal rectal advancement flap repair of trans‐sphincteric fistula , 1998, The British journal of surgery.

[15]  P. Sainio,et al.  Cutting seton for anal fistulas , 1997, Diseases of the colon and rectum.

[16]  W. V. van Tets,et al.  Seton treatment of perianal fistula with high anal or rectal opening , 1995, The British journal of surgery.

[17]  W. F. Tets,et al.  Continence disorders after anal fistulotomy , 1994, Diseases of the colon and rectum.

[18]  J. Fleshman,et al.  Endorectal advancement flap repair of rectovaginal and other complicated anorectal fistulas. , 1993, Surgery.

[19]  R. Pearl,et al.  Role of the seton in the management of anorectal fistulas , 1993, Diseases of the colon and rectum.

[20]  M. Abel,et al.  Autologous fibrin glue in the treatment of rectovaginal and complex fistulas , 1993, Diseases of the colon and rectum.

[21]  J. Williams,et al.  Seton treatment of high anal fistulae , 1991, The British journal of surgery.

[22]  G. Plasencia,et al.  Mucosal advancement in the treatment of anal fistula , 1985, Diseases of the colon and rectum.

[23]  P. gordon,et al.  The incidence of recurrent abscesses or fistula-in-ano following anorectal suppuration , 1984, Diseases of the colon and rectum.

[24]  M. Amir.  Currenrt Trends in Manangment of Fistula-in-Ano : Can We Minimize Recurrence ? , 2022 .