Keywords
LIFT
open fistulotomy
surgical treatment
postoperative complications.
How to Cite
Abstract
Perianal fistula is a common surgical condition characterized by an abnormal path between the anal canal and the perianal skin. Adequate treatment is challenging due to potential complications, such as fecal incontinence and fistula recurrence. Among the surgical techniques, conventional open fistulotomy and intersphincteric ligation of the fistulous tract (LIFT) stand out. The present study aims to compare the postoperative results between the LIFT technique and conventional open fistulotomy in the treatment of perianal fistulas, addressing aspects such as cure rates, complications, recovery time and quality of life. The comparative analysis showed that the LIFT technique had cure rates of 70% to 85%, while open fistulotomy ranged from 85% to 95% for low-path fistulas. LIFT stood out for preserving sphincter function, with lower rates of fecal incontinence, and presented a faster recovery time compared to fistulotomy. However, the recurrence rate was higher in LIFT compared to fistulotomy. In summary, both techniques are effective in the treatment of perianal fistulas, with the choice depending on the characteristics of the fistula and the inherent needs of each patient. Open fistulotomy is indicated for low-path fistulas, due to its higher success rate, while LIFT is preferred for high-path fistulas or when preservation of sphincter function is necessary. The decision should be individualized, considering the anatomy, functionality and preferences of the patient.
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This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2025 Diego Bezerra Soares, Carlos Roberto Sales, Caroline Felber Cericatto, Yuri De Oliveira Apolinário, Elika Almeida Cunha, Emanuelli Maroto Patrício, Ianne Monique Santos De Souza, Letícia Ilkiu Francelino, Paulo Schumann Neto, Raul Santos Ferrari, Thiago Henrique Gontijo Capanema, Bárbara Dellani de Assis, Ana Flora Cintra Metchko Santos, Vitor Luiz Manfrin