Effectiveness of Ligation of Inter Sphincteric Fistula Tract (LIFT) In the Management of Fistulas in Ano in Telangana Population

Background: Fistula in ano is an abnormal communication between epithelized surface of anal canal and perio-nal skin ligation of the intersphincteric fistula tract. This is a new sphineter-saving method with good results without recurrence. Method: 95 adult patients were confirmed to be competent for surgery. USG examination having a 7 to 10 MHZ transducer passed into the anal canal, which is carried out with the patient in a left lateral position. Serial radial images were taken to study the location and position of the fistula. The LIFT procedure was similar to the Rojanaskul proposed method. The duration of surgery and healing time were also noted. Results: The study of classification included parks classification. It has 83 (87.3%) were Trans Sphincteric, 9 (9.4%) intersphincteric, 3 (3.1%) suprasphincteric, Classification on basis of course has 35 (36.8%) anterior straight, 48 (50.5%) posterior straight, 9 (9.4%) curved, and 3 (3.1%) semi-horseshoes. Classification on the tract had 86 (90.5%) single tracts and 9 (9.47%) multiple tracts. Operating time was 35.2 (± 3.30), intersphinc-teric wound healing 23.20 (± 4.10), externet wound healing 25.80 (± 63.80). Conclusion: The LIFT technique is an ideal minimally invasive technique with a high rate of rapid healing and without any resultant of incontinence.