Early experience with the modificated approach of ligation of the intersphincteric @entity292 tract for high transsphincteric XXXX .

@entity1 @entity322 @entity31084 @entity9292 @entity292 @entity1241
BACKGROUND: Transsphincteric fistulotomy is associated with a variable degree of @entity1241 . @entity31084 ( @entity31084 ), a novel surgical procedure with the advantage of avoiding anal @entity322 , has a variable success rate of 57-94%. We evaluated a modified approach from it. Our aim was to review the preliminary results using this technique for high transsphincteric @entity292 . METHODS: A retrospective analysis of a consecutive series of high transsphincteric @entity292 @entity1 who underwent the modified @entity31084 (mLIFT) procedure was performed. The surgical technique involved making a lateral incision from external opening to intersphincteric groove; ligation of the @entity292 tract within the intersphincteric space; and complete excision of the distal part of @entity292 from external opening to external sphincter. The @entity1 were followed for healing time, recurrence, fecal continence disturbance, and any other associated morbidity. RESULTS: Over a 2-year period, 43 @entity1 with high @entity9292 were treated by mLIFT technique. Four @entity1 were lost at follow-up. In a mean follow-up of 15 months, 34/39 (87.2%) of the @entity1 achieved primary or secondary healing. Five @entity1 had persistent symptoms and required further surgical treatment. The second procedures were successful, and finally resulting in an overall healing rate of 100%. The Wexner @entity322 scale was 0 (0-20) both before and at 6 months after the procedure. CONCLUSIONS: The mLIFT procedure for high transsphincteric @entity292 appeared to effectively preserve continence and achieved a comparable success rate to other sphincter-preserving techniques.
