Hellow guys, Welcome to my website, and you are watching XenoLIFT: Ligation of Intersphincteric Fistula Tract with Porcine Xenograft Interposition. and this vIdeo is uploaded by Michael E. Dolberg, MD, FACS, FASCRS at 2018-05-23T17:46:57-07:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | XenoLIFT: Ligation of Intersphincteric Fistula Tract with Porcine Xenograft Interposition |
| Video Uploader | Video From Michael E. Dolberg, MD, FACS, FASCRS |
| Upload Date | This Video Uploaded At 24-05-2018 00:46:57 |
| Video Discription | Title: XenoLIFT: Ligation of Intersphincteric Fistula Tract with Porcine Xenograft Interposition Purpose: This video presents a case of a 35 year old male with an anal fissure and a transsphincteric anal fistula. He had failed medical management directed at the fissure. He was taken to the operating room and was treated with a lateral internal sphincterotomy and an anal seton. He was brought back to the OR 7 weeks later. Ligation of Intersphincteric Fistula Tract (LIFT) procedure was performed. An acellular porcine xenograft was placed as an interposition between the two ligated ends of the fistula. Method: This is a retrospective review of 32 patients who underwent treatment of a transsphincteric anal fistula using the LIFT procedure. 16 patients underwent standard LIFT procedure. 16 patients were treated with a XenoLIFT – LIFT with placement of a porcine xenograft interposition. Results: The patient was discharged from the recovery room following the procedure. He was seen in the office 4 weeks after surgery. The wound was completely healed with no evidence of fistula recurrence. 32 consecutive LIFT procedures were examined. These were all performed by a single surgeon over a 4 year period. 16 patients were treated with the standard LIFT procedure. The most recent 16 patients were treated with a XenoLIFT. The surgical procedure was identical in all patients except for the placement of the interposition graft in the XenoLIFT group. The standard LIFT procedure group had a recurrence rate of 50%. These patients required 1-3 (average = 2) additional surgeries to obtain complete closure of the fistula. 37.5% of the patients who recurred were active smokers. 25% of the patients who healed without a recurrence were active smokers. The XenoLIFT group had a recurrence rate of 0%. 1/16 (6.25%) of these patients was an active smoker. Conclusions: Review of these 32 patients undergoing treatment of a transsphincteric fistula reveals a decreased recurrence rate in the 16 patients who received a XenoLIFT. Although the demographics in the two groups were similar, the standard LIFT group did have a higher percentage of active smokers. The true impact of smoking on this procedure will need to be further examined. Also, the patients who received the xenograft will need to be followed over a longer time period to ensure that the recurrence rate remains low. Despite the small sample size, these initial results are promising. The XenoLIFT procedure has provided complete fistula closure with no recurrences. |
| Category | Education |
| Tags | XenoLIFT | LIFT | transsphincteric | acell | anal fistula | ASCRS 2018 |
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