Abstract | PURPOSE: This study was undertaken to determine the outcomes of patients whose complex anal fistulas were managed by ligation of the intersphincteric fistula tract reinforced with a bioprosthetic graft (BioLIFT procedure). METHODS: A retrospective analysis was performed of all patients whose anal fistula was managed by use of the BioLIFT technique between May 2005 and May 2008, who had a minimum of 1 year of follow-up after their last treatment. RESULTS: The BioLIFT technique using a bioprosthetic graft was used to treat a complex anal fistula in 31 patients (22 men, 9 women; mean age, 48 y (range, 30-68 y). Clinical healing of the fistula, defined as the absence of drainage with no evidence of residual fistula tract, occurred in 29 (94%) patients. No complications occurred that required intervention. CONCLUSIONS: The BioLIFT procedure is effective for the management of complex fistulas-in-ano. Randomized clinical trials comparing this technique with other sphincter-preserving methods for fistula management need to be performed to further determine the role of this technique in the management of anal fistulas.
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Authors | C Neal Ellis |
Journal | Diseases of the colon and rectum
(Dis Colon Rectum)
Vol. 53
Issue 10
Pg. 1361-4
(Oct 2010)
ISSN: 1530-0358 [Electronic] United States |
PMID | 20847616
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Anal Canal
(surgery)
- Bioprosthesis
- Cohort Studies
- Female
- Humans
- Ligation
(instrumentation, methods)
- Male
- Middle Aged
- Rectal Fistula
(etiology, pathology, surgery)
- Retrospective Studies
- Suture Techniques
(instrumentation)
- Treatment Outcome
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