Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Fistula‐in‐ano is a complex anorectal condition characterized by an abnormal communication between the anorectal lumen and the skin, frequently resulting from cryptoglandular infection. Traditional surgical interventions, although effective, often entail the risk of postoperative complications, including recurrence and incontinence. The Ligation of Intersphincteric Fistula Tract (LIFT) technique has emerged as a promising sphincter‐preserving surgical option aimed at mitigating these risks. This prospective, single‐center study was conducted over a two‐year period from June 2023 to December 2024 at a tertiary care center in Andhra Pradesh. Thirty adult patients with a confirmed diagnosis of fistula‐in‐ano who met the inclusion criteria were enrolled and treated using the LIFT technique. Patients with complex or recurrent fistulas or underlying chronic diseases were excluded. Postoperative pain was assessed using the Visual Analogue Scale (VAS), and patients were followed up for six months to monitor recurrence and other complications. Data were analyzed using SPSS version 22.0, and the results are presented as means and percentages. The study population consisted predominantly of males (80%), with a mean age of 53.9 years. Postoperative pain assessment revealed significant improvement, with 66.7% of the patients reporting minimal pain (VAS <3) by the fifth postoperative day. The majority of patients (66.7%) resumed normal physical activity by the fourth postoperative day. The recurrence rate within the six‐month follow‐up was low, supporting the efficacy of the LIFT technique in managing fistula‐in‐ano. The LIFT technique is a viable and effective surgical option for the management of fistula‐in‐ano, offering advantages such as reduced postoperative pain, shorter hospital stays, and low recurrence rates. The sphincter‐preserving approach minimizes the risk of incontinence, making it an attractive first‐line treatment option. However, further studies with larger sample sizes and longer follow‐up periods are warranted to confirm these findings and refine the patient selection criteria.
How to cite this article:
R. Ragul Pradeep, S. Pruthviraj, Channanna Chidamber Rao and P.R. Thatchanamoorthy. A Prospective Study of Fistula‐In‐Ano Surgical Management Using the Lift Technique in A Tertiary Care Hospital.
DOI: https://doi.org/10.36478/makrjms.2024.12.891.894
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2024.12.891.894