RESUMO
Background: Intersphincteric fistula may be ligated during surgery of high lying perianal fistula
Objective: To evaluate the effectiveness of the Intersphincteric ligation technique of the fistulous tract in the treatment of high lying anal fistula
Methodology: Study Design. Quasi Experimental study. Study Setting: Surgical deptt- II BVH Bahawalpur. Sampling Technique: Non-probability purposive sampling. Duration: 1 February to 31 July 2016. A total of thirty patients were recruited for this study, of high lying perianal fistula, and transsphincteric variety. Diagnosis verified by EUA, fistulogram and by MRI. They were subjected to ligation of Intersphincteric fistula tract on elective operation list. All these patients were observed in ward meticulously for 5 days then discharged and follow up done on OPD basis for 3 month for recurrence of fistula and for development of complications like incontinence. The data was entered and analyzed by using SPSS version 20
Results: Twenty five patients were cured. Only 5 patients were declared of recurrence of fistula, all 5 patients were having abscess cavity and that's why fistula tract have not healed. No patient presented with incontinence. The effectiveness of LIFT procedure remained about 83% in this model
Conclusion: The Ligation of Intersphincteric Fistula Tract [LIFT] technique in mid-term evaluation is effective for the treatment of high lying anal fistula