Numerous testimonies, captured through historical documents, tell us their commitment over time by surgeons to treat in the best way that represents one of the most feared diseases belonging to proctology: the perianal fistula. The perianal fistula is characterized by the high risk of disease recurrence and occurrence of anal incontinence after surgery. The perianal fistula is nothing more than a communication is established between the anal canal and perianal region where they exit through the secretions produced by inflammatory tissue that creates this path. The communication between the anal canal and perianal skin, commits the sphincter muscle structures and, by reason of the amount of muscle engaged by the journey, are distinguished perianal fistulas surface, with minimum effort muscle, trasfinteriche, with average commitment, and extrasfinteriche, the route overhangs muscle structure. There are currently in the literature, several surgical techniques for the treatment of fistulas. This is because none of the existing techniques, fulfills those goals are possible to achieve so-called ideals: treat fistula, avoiding the risk that it may recur and the risk of anal incontinence by surgical lesion of the sphincters. A new technique gives a glimpse of its potential we can achieve these goals. This is the L.I.F.T. technique, acronym perLigation of Intersphincteric Tract Fistula meaning ligation of intersphincteric fistula tract, with this technique is to isolate the portion of the fistula that involves the space between the internal anal sphincter and external anal sphincter binds and interrupting just the way it dissects fistula.
The advantage of the surgical technique is to preserve the sphincters, which are not minimally affected, and to allow the removal of a substantial part of the fistula and the interruption of the same very close to the anal canal: in this manner the reduction of risk of recurrence and occurrence of anal incontinence is obvious and remarkable. Other advantages are represented daNumerose are the case histories of patients with perianal fistula treated with the technique LIFT existing in the literature. The surgery is practiced outpatient basis, usually under local anesthesia, takes about 30 minutes, does not involve postoperative pain (due to the absence of injuries in the anal canal), does not require post-operative dressings and allows a rapid recovery of all activities all.
For some years this is the procedure of choice in our business, reserving more invasive interventions in a few cases, where it is necessary to remove the fistula is that the anal glands responsible for the infection, while respecting the integrity of the apparatus sphincter . (Fistulectomy sec. Parks)