LIFT程序

LIFT 程序為結紮肛門括約肌瘻管。用於治療肛瘺，這是一種相對較新的技術，可避免切割肛門括約肌。這種技術在泰國由 Rojanasakul 等人[1] 推廣，目前所有的研究都顯示成功率為 70-94％[2-4]。

它包括在肛門一側建立小切口，結紮並切除瘻管的中間部分。對皮膚的外部開口進行清潔（刮除），傷口保持打開以便於引流和癒合。不需要試圖用瓣片覆蓋內部開口。

參考文獻

1. Rojanasakul A, Pattanaarun J, Sahakitrungruang C, Tantiphlachiva K. Total anal sphincter saving technique for fistula-in-ano: the ligation of intersphincteric fistula tract. J Med Assoc Thai. 2007;90:581–586
2. Armen Aboulian, Amy H. Kaji, Ravin R. Kumar, Early Result of Ligation of the Intersphincteric Fistula Tract for Fistula-in-Ano, dcr, 2011
3. O’Connor L, Champagne BJ, Ferguson MA, Orangio GR, Schertzer ME, Armstrong DN. Efficacy of anal fistula plug in closure of Crohn’s anorectal fistulas. Dis Colon Rectum. 2006;49: 1569–1573.
4. Shanwani A, Nor AM, Amri N. Ligation of intersphincteric fistula tract (LIFT): a sphincter-saving technique in fistula-in-ano. Dis Colon Rectum. 2010;53:39–43.