Evaluation of the risks and benefits of open fistulectomy versus the lift technique for the treatment of ano fistulas following surgery

Abstract

Introduction and Background: Surgical intervention is frequently necessary for the proper management of fistula in ano, a common anorectal disease. One new option that preserves the sphincter and may lessen the likelihood of problems without sacrificing effectiveness is the LIFT technique, which stands for ligation of the intersphincteric fistula tract. In this study, we will compare the LIFT approach to open fistulectomy in terms of postoperative complications, healing time, and recurrence rates in patients with ano-fistula. Materials and Methods: In the months of October 2017 through September 2018, a prospective comparison study was carried out at the Department of General Surgery, Sambhram Institute of Medical Sciences, Kolar, Karnataka, India. Fistula in ano patients (60 total) were enrolled and split into two groups: Group A (n = 30) (Open Fistulectomy) and Group B (n = 30) (LIFT Method). Postoperative problems were noted, including pain (measured with a VAS score), infection, wound healing time, incontinence, and return. Data were analyzed with SPSS software, and a level of significance of p