Krishnamoorthi, A (2020) A Prospective study of Ligation of Intersphincteric Fistula Tract (LIFT) for Fistula in Ano in Government Rajaji Hospital, Madurai. Masters thesis, Madurai Medical College, Madurai.
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Abstract
INTRODUCTION: The anal canal extends from the pelvic diaphragm upto the end at the anal verge. The muscular junction is felt with a finger in between the rectum and analcanal as a thickened edge, it is called as anorectal ring. It is lies in the anal triangle of perinenumin between the right and left ischiorectal fossae, which allow its expansion during passage of the faeces. The sacculations and the taenia are absent here(as in rectum). The length of the anal canal is 3 – 4 cms. It is directed posteriorly because the sling-like puborectalis component of levatorani pulls the rectum forwards to create the anorectal angle. The anal canal lies 2–3 cm anterior and slightly inferior to the tip of the coccyx, and opposite the apex of the prostate in males. AIM OF THE STUDY: The aim of this study was to assess the reduced rate of fecal incontinence, recurrence and faster healing of wound after the sphincter saving procedure [LIFT] in fistula in ano patients. METHODS: In this study 60 patients included who satisfying inclusion criteria coming to General Surgery Department, Government Rajaji Hospital for a period of 1 year. A central randomization was performed and divided into two groups. For control group (I) Fistulectomy was done and in study group (II) LIFT was done. RESULTS: We enrolled 60 patients with a mean age of 20 to 50 years, among 30 patients in group I, 4 patients developed recurrent fistula, among 30 in Group II 1 patient developed recurrence. Among 30 in group I ,4 patients developed fecal incontinence, among 30 in group II none of the patient developd fecal in continence. average wound healing time for fistulectomy 8 weeks and for LIFT 5 weeks. On comparison wound infection rate in fistulectomy is more when compared to LIFT procedure and chi squre value is 5.4545 and p value is < 0.0195. Hence the study is significant and showsthe LIFT procedure lesser infection rate. CONCLUSION: This study proves that the LIFT procedure gives better outcomes when compared to Fistulectomy in the treatment of Perianal fistula. LIFT is a less time consuming, decreased complication, Post operative wound infection rate is less and rate of incidence of fecal incontinence and recurrence also less in LIFT than Fistulectomy.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221711113 |
| Uncontrolled Keywords: | Ligation of Intersphincteric Fistula Tract (LIFT), Fistula, Ano. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 10 Feb 2021 01:58 |
| Last Modified: | 10 Feb 2021 01:58 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13972 |
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