Effectiveness of ligation of Inter Sphincteric Fistula Tract (LIFT) in the Management of Fistulas in ano in Maharashtra Population: Retrospective Study

Abstract

Background: Anal fistula is one of the most common ano- rectal problems, resulting in very negative patient
experiences. The objectives of anal fistula treatments are to achieve healing with a low recurrence rate and preserve
anal function.
Method: 55 adult patients were confirmed to be competent for surgery. USG examination with 7 to 10 MHZ
transducer passed into the anal canal, which is carried out with the patient in the left lateral position. Serial radial
images were taken to study the location and position of the fistula. The LIFT procedure was similar to Rojanaskul
proposed method. The duration of surgery and healing time were also noted.
Results: 48 (87.2%) were as per Parks classification, 5 (9.09%) intersphincteric, 2 (3.63%) suprasphincteric,
Classification based on course of fistula – 20 (36.3%) anterior straight, 28 (50.9%) posterior straight, 5 (9.09%) curved,
and 2 (3.63%) semi-horse shoe. Classification based on the tract – 50 (90.9%) single tracts, 5 (9.09%) multiple tracts.
Conclusion: LIFT technique is simple and safe, with a high rate of healing and no risk of incontinence.