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World J Gastroenterol. Oct 28, 2013; 19(40): 6805-6813
Published online Oct 28, 2013. doi: 10.3748/wjg.v19.i40.6805
Published online Oct 28, 2013. doi: 10.3748/wjg.v19.i40.6805
Ligation of intersphincteric fistula tract: What is the evidence in a review?
Omar Vergara-Fernandez, Luis Alberto Espino-Urbina, Department of Colorectal Surgery, Instituto Nacional de Ciencias Medicas y Nutricion “Salvador Zubiran”, 14000 Mexico City, Mexico
Author contributions: Vergara-Fernandez O and Espino-Urbina LA solely contributed to this paper.
Correspondence to: Omar Vergara-Fernandez, MD, Chairman, Department of Colorectal Surgery, Instituto Nacional de Ciencias Medicas y Nutricion “Salvador Zubiran”, 14000 Mexico City, Mexico. omarvergara74@hotmail.com
Telephone: +52-55-56551076 Fax: +52-55-56551076
Received: June 25, 2013
Revised: August 13, 2013
Accepted: August 17, 2013
Published online: October 28, 2013
Revised: August 13, 2013
Accepted: August 17, 2013
Published online: October 28, 2013
Core Tip
Core tip: We review the current literature published until today about the ligation of intersphincteric fistula tract -procedure. The paper describes the different types of fistulas in which the technique has been used; the cure rates achieved; the reported recurrence rates; types of failures and morbidity related to it. The paper analyzes the prognostic factors for the success; describes the various modifications of the surgical technique and the results obtained with them. The manuscript classifies the types of failures and gives options for their proper treatments. With all these, it sets the achievements and limitations of the technique, with the scientific evidence available today.