The source of human acellular dermal matrix: Ruinuo®, Qingyuanweiye Bio-Tissue Engineering Ltd, Beijing, China.
Ligation of the intersphincteric fistula tract plus a bioprosthetic anal fistula plug (LIFT-Plug): a new technique for fistula-in-ano
Article first published online: 25 APR 2013
© 2012 The Authors. Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland
Volume 15, Issue 5, pages 582–586, May 2013
How to Cite
Han, J. G., Yi, B. Q., Wang, Z. J., Zheng, Y., Cui, J. J., Yu, X. Q., Zhao, B. C. and Yang, X. Q. (2013), Ligation of the intersphincteric fistula tract plus a bioprosthetic anal fistula plug (LIFT-Plug): a new technique for fistula-in-ano. Colorectal Disease, 15: 582–586. doi: 10.1111/codi.12062
Presented at the meeting of Chinese Surgical Week 2011, Beijing, China, 7–10 September 2011.
- Issue published online: 25 APR 2013
- Article first published online: 25 APR 2013
- Accepted manuscript online: 16 OCT 2012 04:15AM EST
- Manuscript Accepted: 21 MAY 2012
- Manuscript Received: 13 MAR 2012
- Program for Outstanding Medical Academic Leader, Beijing, People's Republic of China
- the Program for Outstanding Medical Academic Leader, Beijing, People's Republic of China. Grant Number: no. 2009-1-03
- the New Century National Hundred, Thousand, and Ten Thousand Talent Project, Republic of China. Grant Number: nos 09-911-002 and 08-009
- the Basic and Clinical Cooperation Project of Capital Medical University. Grant Number: 10JL04
- the Training Scheme for Excellent Talents, Beijing. Grant Number: 2011D003034000003
- Anal fistula;
- anal fistula plug;
- ligation of the intersphincteric fistula tract;
- acellular dermal matrix;
Ligation of the intersphincteric fistula tract and reinforcement with a bioprosthetic graft are two recently reported procedures that have shown promise in the treatment of anal fistula. This study was undertaken to validate combining ligation of the intersphincteric fistula tract plus bioprosthetic anal fistula plug and report our preliminary results and experience.
Twenty-one patients with transsphincteric anal fistula were treated with ligation of the intersphincteric fistula tract plus concurrent bioprosthetic plug of the anal fistula. We evaluated healing time, fistula closure rate and postoperative anal function according to the Wexner continence score.
No mortality or major complications were observed. Median operative time was 20 (range 15–40) min. After a median follow-up of 14 (range 12–15) months, the overall success rate was 95% (20/21), with a median healing time of 2 (range 2–3) weeks for external anal fistula opening and 4 (range 3–7) weeks for intersphincteric groove incision. Only 1 (5%) patient reported rare incontinence for gas postoperatively (Wexner score 1).
Ligation of the intersphincteric fistula tract plus a bioprosthetic anal fistula plug is an easy, safe, effective and useful alternative in the management of anal fistula. Further randomized controlled studies are necessary to better evaluate long-term results.