Comparison of Outcome Between Ligation of Inter Sphincteric Fistula Tract with Distal Bipolar Electrocauterization (Lift With DBE) V/S Fistulectomy/ Fistulotomy for Fistula in Ano

Naseem Akram; Rajkumar Verma; Saurabh Purohit

doi:10.55489/njmr.150420251179

Authors

Naseem Akram Department of General Surgery, Maharani Laxmi Bai Medical College, Jhansi, India https://orcid.org/0009-0006-3002-5673
Rajkumar Verma Department of General Surgery, Maharani Laxmi Bai Medical College, Jhansi, India https://orcid.org/0009-0002-4645-4529
Saurabh Purohit Department of General Surgery, Maharani Laxmi Bai Medical College, Jhansi, India https://orcid.org/0000-0002-9497-3895

DOI:

https://doi.org/10.55489/njmr.150420251179

Keywords:

Fistula-in-ano, Ligation of Intersphincteric Fistula Tract, Distal Bipolar Electrocauterization, Fistulectomy, Fistulotomy, Recurrence, Return to Activity, Surgical Outcomes

Abstract

Background: Fistula-in-ano, an abnormal tract between the anal canal and perianal skin, often requires surgical management to prevent complications like abscesses, pain, and discharge. This study compares the outcomes of Ligation of the Intersphincteric Fistula Tract with Distal Bipolar Electrocauterization (LIFT with DBE) and traditional Fistulectomy/Fistulotomy. The study aims to evaluate the effectiveness of LIFT with DBE versus Fistulectomy/Fistulotomy in terms of fistula closure rates, recurrence, postoperative complications, healing, and recovery.

Material and methods: A prospective study of 100 patients with fistula-in-ano was conducted. Patients were divided into two groups: Group-A (Fistulectomy/Fistulotomy) and Group-B (LIFT with DBE). Outcomes included recurrence, postoperative pain (Visual Analogue Scale), bleeding, incontinence, healing time, hospital stay, and time to resume normal activities. Statistical analysis was performed using SPSS.

Results: Group-B (LIFT with DBE) had a significantly lower recurrence rate (10% vs. 20%) and a faster mean return to normal activities (11.6±1.750 days vs. 12.8±1.841 days) compared to Group-A. Postoperative pain, bleeding, and hospital stay were also more favorable in Group-B. There was no significant difference in fecal or flatus incontinence between the groups.

Conclusion: LIFT with DBE demonstrated superior outcomes, including lower recurrence rates and quicker recovery, compared to Fistulectomy/Fistulotomy. It is a less invasive and more effective surgical option for fistula-in-ano, warranting further research into minimally invasive techniques.

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