title: [Ligation of the intersphincteric fistula tract plus bioprosthetic anal fistula plug (LIFT-plug) in the treatment of transsphincteric perianal fistula].
abstract: OBJECTIVE
  To assess the treatment outcome of ligation of the intersphincteric fistula tract plus bioprosthetic anal fistula plug(LIFT-plug) for transsphincteric perianal fistulas.
  
  
  METHODS
  Clinical data of 36 patients with transsphincteric perianal fiftula who were managed by the LIFT-plug technique between November 2010 and February 2012 were analyzed retrospectively.
  
  
  RESULTS
  Clinical healing of the fistula, defined as the absence of drainage with no evidence of residual fistula tract, occurred in 34(94.4%) patients. The operative time ranged from 12 to 35 minutes(mean, 17 minutes). The median postoperative length of stay was 5 days. The median healing time was 18 days. No complications requiring intervention occurred. The postoperative follow up was at least 3 months and two patients had recurrence(5.6%).
  
  
  CONCLUSIONS
  LIFT-plug procedure for the management of transsphincteric perianal fistulas is simple with high healing rate, minimal invasiveness, quick healing, and without disturbance to anal function. LIFT-plug is an ideal procedure for intrasphinteric fistula.
authors.affiliation: Department of General Surgery, Chaoyang Hospital, Capital Medical University, Beijing, China.
authors.forename: Jin-jie
authors.initials: JJ
authors.lastname: Cui
authors.forename: Zhen-jun
authors.initials: ZJ
authors.lastname: Wang
authors.forename: Yi
authors.initials: Y
authors.lastname: Zheng
authors.forename: Jia-gang
authors.initials: JG
authors.lastname: Han
authors.forename: Xin-qing
authors.initials: XQ
authors.lastname: Yang
mesh_terms: D000368:Aged; D005242:Fecal Incontinence; D006801:Humans; D008026:Ligation; D061646:Operative Time; D012003:Rectal Fistula / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome; D014945:Wound Healing