Outcome of Modified Ligation of Intersphincteric Fistula Tract Procedure in Patients with Transsphincteric Anal Fistula.

Document Type : Original Article

Authors

1 Department of General Surgery, Faculty of Medicine, October 6 University, Egypt

2 Department of General Surgery, Faculty of Medicine, Ain Shams University, Egypt

3 Department of General Surgery, Dar El Salam Oncology Center, Ministry of Health, Egypt

Abstract

Introduction: Fistula in ano is a common anal disease that is problematic to both the patient and the surgeon.
Various treatment modalities have been introduced to treat fistula in ano without compromising anal sphincter
function.
Aim of work: In our study we aim to assess the outcomes of modified Ligation of Intersphincteric fistula tract in
patients with transsphincteric fistula as one of the sphincter sparing modalities.
Patients and methods: This is a cross sectional study that included 50 patients who were diagnosed with
transsphincteric fistula tract and treated with modified Ligation of Intersphincteric Fistula Tract. Patients with
recurrent fistula, perianal abscess, Crohn’s disease or any other perianal disease were excluded from our study.
Results: The mean age of participants was 39.92 years and more than half of them were males (Males; n = 32
while females; n = 18). The mean operative time was 30.30 ± 7.09 and mean healing time was 5.38 ± 1.31 weeks.
No incontinence was observed throughout the follow up period (0%). Total of three patients had incomplete healing
and persistent perianal discharge (6%) while four patients showed recurrence after complete healing (8%).
Conclusion: The modified Ligation of Intersphincteric fistula tract technique is an effective sphincter-sparing
procedure that has shown lower incidence of recurrence without affecting anal continence.

Keywords

Ain Shams Journal of Surgery
Volume 17, Issue 2
April 2024
Pages 153-159

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