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The LIFT procedure for a perianal Crohn's fistula - a video vignette

机译:电梯程序为肛周的克罗恩氏瘘——视频装饰图案

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This video shows the ligation of the intersphincteric fistula tract (LIFT) procedure for a perianal fistula. The LIFT procedure was first described in 2007 [1] and is increasingly being used. Studies suggest that it has comparable success rates to the more commonly used advancement flap [2]. Even in patients with Crohn's fistulas, promising results concerning clinical and radiological healing as well as low rates of incontinence have been reported [3]. The video (Video S1 in the online Supporting Information) starts with MRI images of a patient with a transsphincteric fistula for which he has had seton drainage for the last 5 months to create an epithelialized tract to prevent (recurrent) abscess formation [4]. In general, we start proctological procedures with a perianal nerve block, which will reduce postoperative pain and relax the sphincter, resulting in a wider intersphincteric plane.
机译:这段视频显示了结扎intersphincteric瘘道(电梯)过程肛周瘘。2007年第一次描述了[1]和越来越多被使用。类似的成功率更常见推进皮瓣[2]。克罗恩氏瘘管,承诺结果有关临床和放射治疗以及低的尿失禁已报告[3]。视频(视频S1的在线支持信息)从病人的MRI图像开始他已经与transsphincteric瘘斯通排水过去5个月了吗创建一个epithelialized束来防止(复发)脓肿形成[4]。开始proctological肛周的过程神经阻滞,减少术后疼痛和放松括约肌,导致一个更广泛的intersphincteric飞机而。

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