Ligation of Intersphincteric Fistula Tract Is Suitable for Recurrent Anal Fistulas from Follow-Up of 16 MonthsReportar como inadecuado




Ligation of Intersphincteric Fistula Tract Is Suitable for Recurrent Anal Fistulas from Follow-Up of 16 Months - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BioMed Research International - Volume 2017 2017, Article ID 3152424, 4 pages - https:-doi.org-10.1155-2017-3152424

Research Article

Emergency Department, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China

Colorectal and Anal Department, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China

Correspondence should be addressed to Weizhong Tang

Received 11 November 2016; Accepted 16 January 2017; Published 8 February 2017

Academic Editor: Giuseppe Nigri

Copyright © 2017 Yansong Xu and Weizhong Tang. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Since 2007, ligation of the intersphincteric fistula tract LIFT for the management of anal fistula was all introduced with initial success and excitement. It remains controversial which surgical procedure is suitable for transsphincteric fistula, especially to complex anal fistula. This retrospective study was designed to evaluate the results in patients with recurrent anal fistula by LIFT. A retrospective study of 55 complex fistula patients who underwent LIFT procedure in a single medical center was analyzed. Patients and fistula characteristics, complications, and recurrences were reviewed. All 55 patients underwent the procedure with a median follow-up of 16 months. Median operative time was 44 range 23–88 minutes. Of the 55 patients, 33 60% healed completely and did not require any further surgical treatment at end of follow-up. Twenty-two 40% recurrences and six complications were observed. Compared with patients who had undergone more than two surgical procedures, LIFT was more suitable for patients who had undergone one to two surgical procedures, and significant difference was observed in number of operations before LIFT . Clinicians can consider the use of LIFT for the treatment of recurrent anal fistulas. A larger number of patients and prospective study are needed to be performed.





Autor: Yansong Xu and Weizhong Tang

Fuente: https://www.hindawi.com/



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