Resumen

DOMINGUEZ, Rubén; ORTIZ, Jorge; SOSA, Israel  y  DELGADO, Juan Marcelo. LIGADURA INTERESFINTERIANA DEL TRAYECTO FISTULOSO (LIFT). NUESTROS RESULTADOS: INTERSPHINCTERIC LIGATION FISTULA TRACT (LIFT). OUR RESULTS. Rev. Cir. Parag. [online]. 2015, vol.39, n.1, pp.14-16. ISSN 2307-0420.  https://doi.org/10.18004/sopaci.2015.junio.14-16.

ABSTRACT Introduction: Anal fistulas can be treated in several ways. Each procedure is different, as each case is different, so the pos sible results may vary. The LIFT procedure begins with a small incision in the intersphincteric groove, where the path crosses the anal fistula from the internal to the external sphincter. The space opens, it dries and proceeds to ligation by a suture, in this method the sphincter is preserved. Objective:To evaluate the preliminary results of the LIFT technique for the treatment of anal fistulas. Design: Prospective, observational slitting. Materials and methods: A prospective observational study was conducted from January 2013 to March 2015. Patients with transsphincteric fistulas. Follow-up of patients was performed by office until two years after surgery. Results: A total of 20 patients were operated in this period. The majority of patients were male. Ten patients with fistulas transsphincteric low-ten high. In all the fistulous tract was identified performed double bond of intersphincteric path and curettage of the secondary orifice. One patient had dehiscence of skin at points in space which the management intersphincteric conservatively two recurrences and in this period. Discussion: The success of the procedure according to their results LIFT Rojansakul is between 80% and ours is 90%, a nonsignificant difference. The wound healing occurred in less time from work published by Shanwani et al. Conclusion: The LIFT technique seems an effective and safe for the treatment of complex fistulas alternative but still need more studies and case numbers to certify our results.

Palabras clave : LIFT; fístulas; transesfinterianas; LIFT; fistulas,; transsphincteric.

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