Evidence map›Paper›PMID 41313473›Full record

ArticleTechniques in coloproctology2025

A modified LIFT approach of offsetting sphincter muscle plication aimed at decreasing recurrence rates: a single-center retrospective review.

A Troester, J Frebault, E Von Der Marwitz, E Arsoniadis, S M Goldberg, P Goffredo, C Jahansouz

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Article in Techniques in coloproctology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

A Troester *Department of Surgery, University of Minnesota, Minneapolis, MN, USA.
J Frebault *Department of Surgery, University of Minnesota, Minneapolis, MN, USA.
E Von Der MarwitzDivision of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, 420 Delaware St. SE, MMC 450, Minneapolis, MN, 55455, USA.
E ArsoniadisDivision of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, 420 Delaware St. SE, MMC 450, Minneapolis, MN, 55455, USA.
S M GoldbergDivision of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, 420 Delaware St. SE, MMC 450, Minneapolis, MN, 55455, USA.
P Goffredo *Division of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, 420 Delaware St. SE, MMC 450, Minneapolis, MN, 55455, USA.
C Jahansouz *Division of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, 420 Delaware St. SE, MMC 450, Minneapolis, MN, 55455, USA. jahan023@umn.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTranssphincteric anal fistula is a common and challenging diagnosis for patients and surgeons alike. Ligation of the intersphincteric fistula tract (LIFT) following non-cutting seton placement represents an established definitive treatment with many technical variations. Unfortunately, up to 53% of attempted LIFTs fail. We aim to describe a modified LIFT approach and evaluate outcomes at our institution.

methodsThirty-two patients from 2021 to 2024 underwent the modified LIFT approach which included the offsetting of the transected fistula ends with interposing muscle plication, along with closure of the internal opening, and wide excision of the external opening. Retrospective chart review was performed to assess rates of primary wound healing, complications, recurrence, and incontinence. Recurrences were grouped into three types: type I, sinus tract or recurrent abscess without an internal opening; type II, conversion to an intersphincteric fistula; and type III, transsphincteric recurrence.

resultsThe majority of patients were male (69%) with a mean age of 44 years and mean BMI 31.6 kg/m

conclusionsIn this cohort of patients with transsphincteric fistulas undergoing the LIFT procedure, the addition of offsetting muscle plication effectively limited transsphincteric recurrence. Further investigation is warranted to directly compare this LIFT adaptation to previously published literature.

Indexed as

Anal CanalRectal FistulaAdultAgedFecal IncontinenceFemaleHumansLigationMaleMiddle AgedPostoperative ComplicationsRecurrenceRetrospective StudiesTreatment OutcomeWound HealingAnal fistulaIntersphinctericLIFTSurgical techniqueTranssphincteric

Identifiers

PMID41313473
PMCPMC12753536

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