Fistula

[JeffAstle]

There have been threads on this in the past but nothing recent. Does anyone have experience of the Thai-pioneered LIFT technique? Anyone had this surgery at BNH or Samitivej? Thanks for your help.

[jrtmedic]

For those who may not understand what you are talking about here is the detail :-

http://www.colorectalsocal.com/images/Fistula_in_Ano_doc_12.pdf

The original Thai series reported a 94 % success rate.

As far as I am aware this level of success has never been replicated.

The technique however is valid and has some advantages

If you are a candidate for such surgery a full and frank discussion with your surgeon is the way forward.

Edited July 26, 2013 by lopburi3
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[Sheryl]

There are several different surgical options for fistula repair and the best choice depends upon the type and compexity of the fistula -- there is no "one size fits all" best approach. LIFT is generally reserved for unusually deep and/or complicated fistulas. It's a 2 stage technique.

Both the selection of the best technique for a specific patient and the likelihood of success depend greatly upon the experience and skill of the surgeon.

I would suggest consulting this doctor at Bumrungrad who was one of the first to use LIFT and has considerable experience with fistula:

http://www.bumrungrad.com/doctors/Arun-Rojanasakul

[JeffAstle]

Thanks for the replies, and I'll try the Bumrungrad doctor.