Total anal sphincter saving technique for fistula-in-ano; the ligation of intersphincteric fistula tract.
OBJECTIVE
To describe a new technique for fistula-in-ano surgery aimed at total sphincter preservation, and evaluate the preliminary results concerning non-healing and intact anal function.


METHODS
A prospective observational study in eighteen fistula-in-ano patients treated by ligation of intersphincteric fistula tract (LIFT) technique, from January to June 2006.


RESULTS
Fistula-in-ano in seventeen patients healed primarily (94.4%). There was one non-healing case (5.6%). The mean healing time was four weeks. None had disturbances in clinical anal continence.


CONCLUSIONS
The early outcome of the LIFT technique is quite impressive. Results warrant a larger study with long-term evaluation. This technique has the potential to become a viable option for fistula-in-ano surgery.
Rojanasakul
Arun
A
Division of Colorectal Surgery, Chulalongkorn University, Bangkok 10330, Thailand.
Pattanaarun
Jirawat
J
Sahakitrungruang
Chucheep
C
Tantiphlachiva
Kasaya
K
D000328:Adult; D000368:Aged; D001003:Anal Canal; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012003:Rectal Fistula / Q000601:surgery*