Colorectal Division, Chulalongkorn University, Bangkok, Thailand.
Tech Coloproctol. 2009 Sep;13(3):237-40. doi: 10.1007/s10151-009-0522-2. Epub 2009 Jul 28.
The novel modified approach through the intersphincteric plane for the treatment of fistula-in-ano, known as LIFT (ligation of inter sphincteric fistula tract) procedure, is described in detail. LIFT procedure is based on secure closure of the internal opening and removal of infected cryptoglandular tissue through the intersphincteric approach. Essential steps of the procedure include, incision at the intersphincteric groove, identification of the intersphincteric tract, ligation of intersphincteric tract close to the internal opening and removal of intersphincteric tract, scraping out all granulation tissue in the rest of the fistulous tract, and suturing of the defect at the external sphincter muscle. Attention to detail is the key for a favorable outcome.
经括约肌间平面治疗肛瘘的新型改良方法，即 LIFT（肛提肌间瘘管结扎术），有详细描述。LIFT 手术基于安全闭合内口和通过经括约肌途径清除感染的肛隐窝组织。手术的基本步骤包括：在括约肌间沟切开，识别括约肌间管，在靠近内口处结扎括约肌间管并切除，刮除瘘管其余部分的所有肉芽组织，缝合外括约肌缺损。手术的关键是注重细节。
