Efficacy of lift (ligation of intersphincteric fistula tract) for complex and recurrent XXXX --a single-center experience and a review of the literature.

@entity1 @entity9292 @entity292
Ligation of intersphincteric fistula tract in treatment of @entity9292 (LIFT) is being said to have satisfactory results in short and long follow up, with low risk of complications. This study was designed to evaluate the results in @entity1 with complex and recurrent @entity292 in comparison with simple transsphincteric @entity9292 . The aim of the study was to present a single-center experience in LIFT procedure in treatment of both @entity9292 , including recurrent @entity292 , in comparison with a review of current literature. MATERIAL AND METHODS: A series of 17 @entity1 were qualified to LIFT procedure. 5 @entity1 were treated for simple transsphincteric, 6 for complex @entity292 , 6 with @entity292 recurrent after fistulotomy. Median age was 47, most of the @entity1 were male (16/17). Mean follow up was 11 months. RESULTS: Mean operating time was 55 minutes counting from surgical site disinfection to final dressing of the wound. Of the 17 @entity1 the overall success rate was 53%. As expected, best results were achieved in @entity1 with simple @entity292 (80% success rate), then complex (50%), and recurrent @entity292 (only 33%). There were no early nor late complications of the surgery. CONCLUSION: As expected, in simple transsphincteric @entity292 the results were satisfactory, taking into account low complication rate. Complex and recurrent @entity292 seem to be risk factors of LIFT failure. The results are consistent with data published by other authors, based on the review of the current literature, and it seems there is still room for improvement, so further research is required.
