AI Summary & Key Takeaways
AI InsightThechange in the mean±SD preoperative and postoperative CCF-FI scores and anal pressure was not statistically significant.Conclusion: One promising advantage of the ligation of the intersphincteric fistula tract procedure is that it turns a complexfistula into a simple fistula that can be treated with minimal risk of sphincter damage.
📌 3 Key Takeaways
Özet
Objectives: The anal fistula is a permanent infectious tunnel formed between the anal canal and skin in the perianal region. Fistulasare treated by surgery at any stage. Many surgical methods have been reported to treat anal fistula. One of the promisingsurgical methods with a high success rate is ligation of the intersphincteric fistula tract, which is performed in anatomical spaceswithout damage to the internal and external sphincters. We evaluated the success rate of a modified ligation of the intersphinctericfistula tract procedure for complex anal fistulas in which the technical differences were minimized by the surgery being performedby the same surgical team.Methods: In this study, Data of the 56 patients were retrospectively collected. Data regarding patient history, visual and digitalanal examination, Cleveland Clinic Florida Fecal Incontinence (CCF-FI) score, anal-phase pelvic magnetic resonance imaging (MRI),rectosigmoidoscopy or colonoscopy and anal manometry were recorded. The changes in data recorded during the preoperativeand postoperative periods were compared in each other.Results: The mean age of the patients was 41±15.5 years. The number of patients for each fistula type compromised in this studywas as follows in accordance with frequency: high transsphincteric fistula, high intersphincteric fistula, and horseshoe abscess. Thefistula recurred in seven patients during postoperative follow-up and the success rate of modified LIFT was calculated as 87.5%. Thechange in the mean±SD preoperative and postoperative CCF-FI scores and anal pressure was not statistically significant.Conclusion: One promising advantage of the ligation of the intersphincteric fistula tract procedure is that it turns a complexfistula into a simple fistula that can be treated with minimal risk of sphincter damage.