What is the efficacy of ligation of intersphincteric fistula tract (LIFT) in the treatment of anal fistulas?

Updated: Nov 09, 2018
  • Author: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

In one retrospective study of 53 patients who underwent LIFT for anal fistula, of the 20 patients who had a failed LIFT at a median follow-up of 4 months, reoperation with placement of a seton followed by fistulotomy or rectal advancement flap appeared to resolve the fistula in 50% of these patients, with another nearly one third (31.7%) still undergoing therapy. [51]  The majority of the recurrent fistulas was transsphincteric (75%) (25% intersphincteric).


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