Research Article
Volume 7 Issue 9 - 2020
Experience and Results with the Modified Lift Procedure in the Treatment of Perianal Fistulas
Daniela Castillo1 and Luis Carlos Ferrari2*
1Resident of the 3rd Year of the General Surgery of the Aconcagua and Santo Tomás Private Sanatoriums, Córdoba, Argentina
2In Charge of the Coloproctology Section of Sanatorios Aconcagua and Santo Tomás Privado de la Ciudad de Córdoba, Argentina
*Corresponding Author: Luis Carlos Ferrari, In Charge of the Coloproctology Section of Sanatorios Aconcagua and Santo Tomás Privado de la Ciudad de Córdoba, Argentina.
Received: April 18, 2020; Published: August 29, 2020


Background: The treatment of perianal fistulae which involves a considerable amount of sphincter tissue can be challenging due to the indexes of recurrence and anal incontinence reported herein. Various sphincter sparing techniques have been proposed to resolve this pathology but none in its own has demonstrated a high index of curing with good continence. The modified LIFT procedure can be a valid alternative to be implemented in the treatment of this pathology.

Objective: Evaluating prospectively the results obtained in the surgery of the perianal fistula using the modified LIFT procedure.

Design: Prospective observational study.

Patients and Method: From May 2011 to June 2014, 26 patients had consecutively surgery for perianal fistula using the modified LIFT procedure.

Results: The average age of the sample was 45,6 years of which 80.8% were male patients, 17 had an transphincteric fistula (65.4%) and 9 had a suprasphincteric perianal fistula (34.6%). All these patients were treated with the modified LIFT procedure. The occasional opening of some of the cutaneous closures was the most frequent complication (42,3%) predominating the closure where the external opening was 8/11. Only one patient suffered from a postoperative bleeding which was stopped through a compression procedure. There were no infections and the hospital stay was of one day. The average time of wound healing was of 31.7 days. It was recurring in 4 patients (15,4%) with an index of healing of 84.6%. None of the patients showed any degree of incontinence during the different postoperative controls.

Conclusion: The modified LIFT procedure for the treatment of perianal fistulae which involves a considerable amount of sphincter tissue was feasible to be put into practice. It was less invasive than the conventional techniques causing no sphincter wounds and resulting satisfactorily at least in the initial stage if it is compared with the different series published.

Keywords: Perianal Fistula; LIFT Procedure


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Citation: Daniela Castillo and Luis Carlos Ferrari. “Experience and Results with the Modified Lift Procedure in the Treatment of Perianal Fistulas”. EC Gastroenterology and Digestive System 7.9 (2020): 76-82.

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