Abstract

Fistula treatment can cause irreversible sphincter damage leading to embarrassment and poor functional outcomes to the patient. It is notorious for recurring, which poses a complicated issue for the treating surgeon. Thus, it becomes important for the treating surgeon to plan the management of anal fistulas appropriately. Ideal surgical treatment for anal fistula should aim to eradicate sepsis and promote healing of the tract while preserving the sphincters and continence mechanism. Aim of the study is to confirm the admirable effects of LIFT procedure over Seton based on Postoperative pain on day 1 and 2, Short term recurrence, Healing, Procedural visits. Patients & Methods: A prospective, single centered, interventional study was done in 60 patients with fistula-in-ano admitted to Government General Hospital Kadapa from July 2022 to July 2023. Results: In the present study, Visual Analog Scale (0,1,2,3) in LIFT group on POD 1, were 2, 20, 6, 2 and in SETON group on POD 1 were 0, 9, 16, 5 respectively. Similarly, visual analogue scale (0,1,2,3) in LIFT group on POD 2, were 19, 8, 3, 0 and in SETON group on POD 2 were 5, 20, 5, 0 respectively. Patients who underwent LIFT procedure had a satisfactory postoperative period and the wound healed in all the cases. In SETON group 4 patients had two visits, 23 patients had three visits, two patients had four visits, and one patient had five visits leading to discomfort and inconvenience. There was persistent fistula in 6 cases. There were no recurrences in 1 month follow up 1 and 3 in 3rd month, 1 and 3 in 6th month follow up in LIFT and SETON group respectively. Conclusion: LIFT gives good outcomes in terms of Postoperative pain on day 1 and 2, wound healing rate, single time procedure and recurrence during our short follow-up period of 6 months.

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