Kết quả phẫu thuật thắt đường rò gian cơ thắt điều trị rò hậu môn tại Bệnh viện Hữu nghị Việt Đức

Abstract

Objectives: To describe the indication and the technique of the LIFT (ligation of intersphincteric fistula tracts) procedure. To evaluate the outcomes of the LIFT procedure in the treatment of anal fistula at Vietduc University Hospital. Subject and method: Retrospective, descriptive, and follow-up in 18 patients; prospective, descriptive, and follow-up in 13 patients. Result: The mean age: 39.6 ± 11.8 years; the male/female ratio was 25/6; the rate of patients with pre-operative abscess drainage and antibiotic usage: 5 (16.1%); 16 patients (51.6%) had a previous history of anal fistula surgery. The mean duration of the operation was 35.7 ± 11.7 (mins). There was one case that underwent the LIFT procedure combined with the Park procedure. The mean hospitalization was 3.5 ± 1.3 (days), one patient had postoperative wound hemorrhage, another one had a postoperative thrombosed hemorrhoid; the recurrence rate was 3 (9.7%) and no patient with post-operative incontinence. Conclusion: This technique is commonly used in cases with stable fistula. Besides, we suppose that it may be extended for some cases with abscesses adjacent to the fistula tract (requires coordination of MRI and antibiotics may be preoperatively introduced for these patients for a week). This technique has a low rate of recurrence and postoperative complications and preserves maximally the anal sphincter as well as patients’ continence.