Outcome of Modified Ligation of Intersphincteric Fistula Tract Procedure in Patients with Transsphincteric Anal Fistula.
Gharib, A., Abdallah, A., Abbas, A., Kamel, R., Maarouf, A. (2024). Outcome of Modified Ligation of Intersphincteric Fistula Tract Procedure in Patients with Transsphincteric Anal Fistula.. EKB Journal Management System, 17(2), 153-159. doi: 10.21608/asjs.2024.351445
Ahmed Zaki Gharib; Adel Morad Abdallah; Ahmed Adel Abbas; Reem A. Kamel; Ahmed Maarouf. "Outcome of Modified Ligation of Intersphincteric Fistula Tract Procedure in Patients with Transsphincteric Anal Fistula.". EKB Journal Management System, 17, 2, 2024, 153-159. doi: 10.21608/asjs.2024.351445
Gharib, A., Abdallah, A., Abbas, A., Kamel, R., Maarouf, A. (2024). 'Outcome of Modified Ligation of Intersphincteric Fistula Tract Procedure in Patients with Transsphincteric Anal Fistula.', EKB Journal Management System, 17(2), pp. 153-159. doi: 10.21608/asjs.2024.351445
Gharib, A., Abdallah, A., Abbas, A., Kamel, R., Maarouf, A. Outcome of Modified Ligation of Intersphincteric Fistula Tract Procedure in Patients with Transsphincteric Anal Fistula.. EKB Journal Management System, 2024; 17(2): 153-159. doi: 10.21608/asjs.2024.351445

Outcome of Modified Ligation of Intersphincteric Fistula Tract Procedure in Patients with Transsphincteric Anal Fistula.

Ain Shams Journal of Surgery
Volume 17, Issue 2, April 2024, Page 153-159  XML PDF (749.6 K)
Document Type: Original Article
DOI: 10.21608/asjs.2024.351445
View on SCiNiTO View on SCiNiTO
Authors
Ahmed Zaki Gharib1; Adel Morad Abdallah1; Ahmed Adel Abbas2; Reem A. Kamel3; Ahmed Maarouf1
1Department of General Surgery, Faculty of Medicine, October 6 University, Egypt
2Department of General Surgery, Faculty of Medicine, Ain Shams University, Egypt
3Department of General Surgery, Dar El Salam Oncology Center, Ministry of Health, Egypt
Abstract
Introduction: Fistula in ano is a common anal disease that is problematic to both the patient and the surgeon.
Various treatment modalities have been introduced to treat fistula in ano without compromising anal sphincter
function.
Aim of work: In our study we aim to assess the outcomes of modified Ligation of Intersphincteric fistula tract in
patients with transsphincteric fistula as one of the sphincter sparing modalities.
Patients and methods: This is a cross sectional study that included 50 patients who were diagnosed with
transsphincteric fistula tract and treated with modified Ligation of Intersphincteric Fistula Tract. Patients with
recurrent fistula, perianal abscess, Crohn’s disease or any other perianal disease were excluded from our study.
Results: The mean age of participants was 39.92 years and more than half of them were males (Males; n = 32
while females; n = 18). The mean operative time was 30.30 ± 7.09 and mean healing time was 5.38 ± 1.31 weeks.
No incontinence was observed throughout the follow up period (0%). Total of three patients had incomplete healing
and persistent perianal discharge (6%) while four patients showed recurrence after complete healing (8%).
Conclusion: The modified Ligation of Intersphincteric fistula tract technique is an effective sphincter-sparing
procedure that has shown lower incidence of recurrence without affecting anal continence.
Keywords
Intersphincteric Fistula Tract; Transsphincteric Anal Fistula; Perianal Fistula; Modified
Statistics
Article View: 16
PDF Download: 11