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Dr. Gaurav Bansal

MBBS, MS - General Surgery, FIAGES - Minimal Access Surgery, Fellowship in Advanced Minimally Invasive and Robotic Surgery.

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Minimal invasive procedure for fistula - LIFT ( Ligation of Internal Fistula Tract )

What is Fistula in Ano?

A fistula-in-ano is an abnormal tract with an external opening in the perianal area that is communicating with the rectum or anal canal by an identifiable internal opening. Most fistulas are thought to arise as a result of cryptoglandular infection with resultant perirectal abscess.

Treatment of anal fistulas depends on their location and complexity. When considering surgery, the ultimate goal is to protect the sphincter muscle and prevent recurrence of an anal fistula.

LIFT (ligation of intersphincteric fistula tract) technique is yet another approach in treating a fistula-in-ano

The Technique

LIFT procedure is based on secure closure of the internal opening and removal of infected cryptoglandular tissue through the intersphincteric approach. The LIFT technique is often performed for complex or deep fistulas. The procedure allows surgeon to access the fistula between the sphincter muscles and avoid cutting them.

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