title: Management of Fistula-In-Ano with Special Reference to Ligation of Intersphincteric Fistula Tract.
abstract: BACKGROUND
  The surgical management of fistula-in-ano is still debatable and no clear recommendations have been made available until now. The present study analyses the results of ligation of intersphincteric fistula tract (LIFT) technique in treating fistula-in-ano in particular with recurrence, healing time, and continence status.
  
  
  OBJECTIVE
  LIFT in the management of patients of fistula-in-ano of cryptoglandular origin.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  This is a prospective study of 52 patients admitted from September 2012 to August 2014. Patients were managed with LIFT technique and results of LIFT technique were compared with other studies in terms of recurrence rate, incontinence rate, and other postoperative complications.
  
  
  RESULTS
  A total of 52 patients were studied. Median follow-up was 24 weeks. Primary healing was achieved in 32 (71.11%) patients. Thirteen patients (28.88%) had a recurrence. No patient reported any subjective decrease incontinence after the procedure.
  
  
  CONCLUSIONS
  LIFT technique is simple and easy to learn. With this method fistula-in-ano could be easily treated even at primary health care level. LIFT technique is a simple and novel modified approach for the treatment of fistula-in-ano with rapid healing rate and without any resultant incontinence.
authors.affiliation: Department of General Surgery, MKCG Medical College, Berhampur, Odisha, India.
authors.forename: Mohanlal
authors.initials: M
authors.lastname: Khadia
authors.affiliation: Department of General Surgery, MKCG Medical College, Berhampur, Odisha, India.
authors.forename: Iswar Chandra
authors.initials: IC
authors.lastname: Muduli
authors.affiliation: Department of General Surgery, MKCG Medical College, Berhampur, Odisha, India.
authors.forename: Sushanta Kumar
authors.initials: SK
authors.lastname: Das
authors.affiliation: Department of General Surgery, MKCG Medical College, Berhampur, Odisha, India.
authors.forename: Sworupa Nanda
authors.initials: SN
authors.lastname: Mallick
authors.affiliation: Department of General Surgery, MKCG Medical College, Berhampur, Odisha, India.
authors.forename: Laxman
authors.initials: L
authors.lastname: Bag
authors.affiliation: Department of General Surgery, MKCG Medical College, Berhampur, Odisha, India.
authors.forename: Manas Ranjan
authors.initials: MR
authors.lastname: Pati
keywords: Crypto glandular infection; fistula-in-ano; ligation of intersphincteric fistula tract; sphincter saving operation