Our Summary
The paper discusses a surgical method for treating a condition known as anal fistulas - abnormal connections between the rectum and skin near the anus. The surgical method is called ligation of the intersphincteric fistula tract (LIFT), and it has been proven effective with a low risk of causing unwanted damage.
The study focuses on the results of LIFT surgery performed on 12 patients suffering from complex and high-position anal fistulas between 2016 and 2020. The patients ranged in age from 28 to 69 years old, and the condition either occurred for the first time or had come back after previous treatment.
The researchers used ultrasound imaging to confirm the patients’ condition and then performed the LIFT surgery. They followed up with the patients for a period of 6 to 51 months after the surgery, with check-ups at 1 week, 4 weeks, and 6 months post-surgery.
The researchers looked for two things. They wanted to see if the surgery cured the condition or if it came back (primary endpoint). They also checked for any complications after the surgery (secondary endpoint).
The results showed that the surgery was successful in 10 out of the 12 patients (83.3%). Two patients (16.7%), however, experienced complications in the form of a return of the fistula. Also, two patients (16.7%) had slight problems with bowel control after the surgery.
FAQs
- What is the LIFT surgical method for treating anal fistulas?
- According to the study, how effective was the LIFT surgery in treating complex and high-position anal fistulas?
- Were there any complications reported after the LIFT surgery?
Doctor’s Tip
Based on these findings, a doctor might advise a patient undergoing anal fistula surgery with the LIFT method to be prepared for the possibility of complications such as a recurrence of the fistula or issues with bowel control. It is important for patients to follow post-operative care instructions closely, attend follow-up appointments, and communicate any concerns or changes in symptoms to their healthcare provider. Additionally, maintaining good hygiene and a healthy lifestyle can help promote healing and reduce the risk of complications.
Suitable For
Overall, the study suggests that LIFT surgery is a safe and effective option for treating complex and high-position anal fistulas in patients who have not had success with other treatments. Patients who are typically recommended for anal fistula surgery are those who have recurring or complex fistulas that have not responded to conservative treatments such as antibiotics or fistulotomy. Additionally, patients with a high-position fistula, where the connection is deeper in the anal canal, may benefit from LIFT surgery. It is important for patients to discuss their individual circumstances with a healthcare provider to determine the best course of treatment for their anal fistula.
Timeline
Before the surgery, patients typically experience symptoms such as pain, swelling, discharge, and discomfort in the anal area. They may have tried other treatments such as antibiotics or draining the fistula, but these may not have been successful in resolving the issue.
After the surgery, patients may experience some pain and discomfort in the anal area, which can be managed with pain medication. They may also have some temporary changes in bowel movements or bowel control as the area heals.
Overall, the timeline for a patient before and after anal fistula surgery involves experiencing symptoms, undergoing surgery to correct the issue, and then recovering and monitoring for any complications or recurrence of the fistula.
What to Ask Your Doctor
Some questions a patient should ask their doctor about anal fistula surgery include:
- What are the potential risks and complications associated with LIFT surgery for anal fistulas?
- How long is the recovery period after LIFT surgery, and what can I expect in terms of pain and discomfort?
- Will I need to make any lifestyle changes or follow a special diet after the surgery?
- How likely is it that the anal fistula will come back after LIFT surgery?
- Are there any alternative treatment options available for anal fistulas, and how do they compare to LIFT surgery?
- How many LIFT surgeries have you performed for anal fistulas, and what is your success rate?
- Will I need to undergo any additional tests or procedures before the surgery?
- What is the expected outcome of LIFT surgery for my specific case of anal fistula?
- How long will I need to stay in the hospital after the surgery, and when can I return to normal activities?
- Are there any long-term implications or considerations I should be aware of after undergoing LIFT surgery for anal fistulas?
Reference
Authors: Rydzek M, Ciesielski P, Diuwe P. Journal: Pol Przegl Chir. 2021 May 14;93(4):41-45. doi: 10.5604/01.3001.0014.8769. PMID: 34515647