Assessment of Ligation of Intersphincteric Fistula Tract (Lift) for Perianal Fistula in Terms of Operation and Healing Time

Main Article Content

Keval R. Dhone
Meen More
Anil Akulwar
Avinash Rinait
R. K. Ashwini
Rupesh Verma

Abstract

Aim: The aim of the present study was to assess ligation of intersphincteric fistula tract (lift) for perianal fistula in terms of operation and healing time. Methods: The present study included patients coming to General surgery OPD and Data was collected with meticulous history taking clinical examination and appropriate radiological and operative findings and regular follow ups. 85 patients were included in the study. Results: In the present study most of the patients were belonging to the age group of 40- 50 years (45.9%) followed by 30-39 (30.6%), >50 years (18.8%). Whereas least no of cases were reported in the age group of 20-29 years accounting to 4 (4.7%). We observed male 59(69.4%) preponderance compared over female 26(30.6%) with sex ratio of 2.26:1. we observed perianal discharge as most common complaint 75(88.2%) followed by 18(21.1%) as perianal swelling and pain was present in 05 (5.9%). In the present study we observed 4(4.7%) had history of the previous perianal surgery for fistula in ano. In this study 83.53% patients presented with posterior external opening. 16.47% patients presented with opening anteriorly. In this study 89.41% patients have low fistula. 10.6 % of patients are having high level of fistula. In this study 67.1% patients require 30 mints time for LIFT procedure. 18.8% patients require 25 mints time for surgery, 10.6% patients require 35 mints for surgery& 3.5% patient require 40 minutes for surgery. In this study 80% patients had 8 weeks for healing, 15.3% patients required 10 weeks for wound healing & 3.53% patients required 6 weeks for wound healing.


Conclusion: Our findings show that the LIFT-plug approach is straightforward, secure, and efficient for treating trans-sphincteric fistula with minimal to no risk of fecal. Anal fistula is mostly treated surgically to close the fistula, stop it from returning, and maintain anal continence.

Article Details

How to Cite
Keval R. Dhone, Meen More, Anil Akulwar, Avinash Rinait, R. K. Ashwini, & Rupesh Verma. (2023). Assessment of Ligation of Intersphincteric Fistula Tract (Lift) for Perianal Fistula in Terms of Operation and Healing Time. Journal of Coastal Life Medicine, 11(2), 120–126. Retrieved from https://www.jclmm.com/index.php/journal/article/view/921
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