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Sphincter-Saving ProctologyMarch 2024Tertiary Surgical Unit
Sphincter-Saving LIFT Procedure for Recurrent High Suprasphincteric Fistula
Clinical Outcome: Complete primary wound healing within 4 weeks. Normal fecal continence fully preserved (Wexner Score 0).
SD
Operating Surgeon: Dr. Sudish Durgesh, MChConsultant Surgical Gastroenterologist • KMC Reg. 87559
Clinical Presentation & Pre-Op Summary
36yo male with recurrent high fistula; LIFT technique achieved complete primary healing and zero fecal incontinence.
Operative Breakdown:
Under spinal anesthesia, intersphincteric plane carefully entered through a curvilinear incision at the anal verge. Fistula tract dissected between internal and external anal sphincters. Tract ligated flush with absorbable sutures and divided. The internal opening closed securely. External tract curetted clean. Zero division of external sphincter muscle.
Outcome:
Healed within 4 weeks. Wexner continence score: 0 (perfect continence). Recurrence-free at 12 months.
Have a Similar Complex Case?
Dr. Sudish Durgesh evaluates complex GI oncology, revision surgeries, and outstation cases with comprehensive multidisciplinary protocols.