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CC BY-NC-ND 4.0 · Journal of Coloproctology 2014; 34(02): 109-119
DOI: 10.1016/j.jcol.2014.02.008
Original Article

Systematic review of efficacy of LIFT procedure in crpytoglandular fistula-in-ano

Revisão sistemática da eficácia do procedimento LIFT em fístula anal criptoglandular
Jothi Murugesan
a   Liverpool Hospital, Liverpool, Australia
,
Isabella Mor
b   The Tweed Hospital, Tweed Heads, Australia
,
Stephen Fulham
c   Campbelltown Hospital, Campbelltown, Australia
,
Kerry Hitos
d   The University of Sydney, Westmead Hospital, Westmead, Australia
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Abstract

Background fistula-in-ano is a common problem. Ligation of intersphincteric fistula tract (LIFT) is a new addition to the list of operations available to deal with complex fistula-in-ano.

Objective we sought to qualitatively analyze studies describing LIFT for crpytoglandular fistula-in-ano and determine its efficacy.

Data sources MEDLINE (Pubmed, Ovid), Embase, Scopus and Cochrane Library were searched.

Study selection all clinical trials which studied LIFT or compared LIFT with other methods of treatment for anal fistulae, prospective observational studies, clinical registry data and retrospective case series which reported clinical healing of the fistula as the outcome were included. Case reports, studies reporting a combination with other technique, modified technique, abstracts, letters and comments were excluded.

Intervention the intervention was ligation of intersphincteric fistula tract in crpytoglandular fistula-in-ano.

Main outcome measure primary outcome measured was success rate (fistula healing rate) and length of follow-up.

Resumo

Background fístula anal é um problema comum. A ligadura interesfincteriana do trajeto fistuloso (LIFT) é uma nova adição à lista de cirurgias disponíveis para tratar a fístula anal complexa.

Objetivo buscou-se analisar qualitativamente estudos descrevendo o uso de LIFT para fístula anal criptoglandular e determinar a sua eficácia.

Fontes de dados as bases de dados MEDLINE (Pubmed, Ovid), Embase, Scopus e Biblioteca Cochrane foram pesquisadas.

Seleção dos estudos todos os ensaios clínicos que estudaram LIFT ou compararam LIFT com outros métodos de tratamento da fístula anal, estudos observacionais prospectivos, dados de registros clínicos e série de casos retrospectivos que relataram a cura clínica da fístula anal como desfecho foram incluídos. Relatos de casos, estudos que relatam uma combinação com outra técnica, técnica modificada, resumos, cartas e comentários foram excluídos.

Intervenção a intervenção foi ligadura interesfincteriana do trajeto fistuloso em fístula anal criptoglandular.

Medida do desfecho principal a medida do desfecho principal foi a taxa de sucesso (taxa de cura da fístula) e período de seguimento.

Keywords

Fistula-in-ano - Complex - Intersphincteric - Ligation - Recurrence - Incontinence - Follow-up

Palavras-chave

Fístula anal - Complexa - Interesfincteriana - Ligadura - Recorrência - Incontinência - Seguimento


Publication History

Received: 06 March 2014

Accepted: 15 March 2014

Article published online:
17 February 2021

© 2014. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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