Ligation of the intersphincteric fistula tract plus a bioprosthetic anal fistula plug (LIFT-Plug): a new technique for fistula-in-ano

2013 ◽  
Vol 15 (5) ◽  
pp. 582-586 ◽  
Author(s):  
J. G. Han ◽  
B. Q. Yi ◽  
Z. J. Wang ◽  
Y. Zheng ◽  
J. J. Cui ◽  
...  
Keyword(s):  
Anal Fistula ◽  
New Technique ◽  
Fistula Tract ◽  
Fistula In Ano ◽  
Fistula Plug ◽  
Anal Fistula Plug ◽  
Intersphincteric Fistula ◽  
A New Technique

scholarly journals The Use of Seton as a Bridge to Definitive Ligation of the Intersphincteric Fistula Tract Procedure for Fistula-in-ano: A Systematic Review and Meta-analysis

2021 ◽  
Author(s):  
Carlos Placer-Galán ◽  
Jose Mª Enriquez-Navascués ◽  
Tania Pastor-Bonel ◽  
Ignacio Aguirre-Allende ◽  
Yolanda Saralegui-Ansorena
Keyword(s):  
Systematic Review ◽  
Anal Fistula ◽  
Meta Analysis ◽  
Fistula Tract ◽  
Cochrane Library ◽  
Fistula In Ano ◽  
Intersphincteric Fistula ◽  
The Impact ◽  
Seton Placement ◽  
Primary Healing

Abstract Background There is still controversy over the usefulness of seton placement prior to the ligation of the intersphincteric fistula tract (LIFT) surgery in the management of anal fistula. Objective To evaluate the impact of preoperative seton placement on the outcomes of LIFT surgery for the management of fistula-in-ano. Design systematic review and meta-analysis. Data Sources A search was performed on the MEDLINE (PubMed), EMBASE, Scopus, Web of Science, Cochrane Library and Google Scholar databases. Study Selection Original studies without language restriction reporting the primary healing rates with and without seton placement as a bridge to definitive LIFT surgery were included. Intervention The intervention assessed was the LIFT with and without prior seton placement. Main Outcome Measures The main outcome was defined as the primary healing rate with and without the use of seton as a bridge to definitive LIFT surgery. Results Ten studies met the criteria for systematic review, all retrospective, with a pooled study population of 772 patients. There were no significant differences in the percentages of recurrence between patients with and without seton placement (odds ratio [OR] 1.02; 95% confidence interval [CI] 0.73–1.43: p = 0.35). The I2 value was 9%, which shows the homogeneity of the results among the analyzed studies. The 10 included studies demonstrated a weighted average overall recurrence of 38% (interquartile range [IQR] 27–42.7%), recurrence with the use of seton was 40% (IQR 26.6–51.2%), and without its use, the recurrence rate was 51.3% (IQR 31.3–51.3%) Limitations The levels of evidence found in the available literature were relatively fair, as indicated after qualitative evaluation using the Newcastle-Ottawa scale and the Attitude Heading Reference System (AHRS) evidence levels. Conclusions Our meta-analysis suggests that the placement of seton as a bridge treatment prior to LIFT surgery does not significantly improve long-term anal fistula healing outcomes. Ligation of the intersphincteric fistula tract surgery can be performed safely and effectively with no previous seton placement.International prospective register of systematic reviews—PROSPERO registration number: CDR42020149173.

PTU-212 A systematic review of bioabsorbable synthetic anal fistula plug for treatment of cryptoglandular fistula in ano

Gut ◽  
2015 ◽  
Vol 64 (Suppl 1) ◽  
pp. A156.1-A156
Author(s):  
SK Narang ◽  
C Jones ◽  
N Alam ◽  
S Pathak ◽  
I Daniels ◽  
...  
Keyword(s):  
Systematic Review ◽  
Anal Fistula ◽  
Fistula In Ano ◽  
Fistula Plug ◽  
Anal Fistula Plug

scholarly journals Long-term outcomes of (Gore) fistula plug versus ligation of intersphincteric fistula tract for anal fistula

2018 ◽  
Vol 38 (4) ◽  
pp. 314-319
Author(s):  
Abdullah Alhaddad ◽  
Ali Mouzannar ◽  
Aqeel Ashraf ◽  
Bader Marafi ◽  
Ibtisam Albader ◽  
...  
Keyword(s):  
Anal Fistula ◽  
Fistula Tract ◽  
Long Term Outcomes ◽  
Fistula Plug ◽  
Intersphincteric Fistula
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