A modified LIFT approach of offsetting sphincter muscle plication aimed at decreasing recurrence rates: a single-center retrospective review - Takeaways - MDSpire

A modified LIFT approach of offsetting sphincter muscle plication aimed at decreasing recurrence rates: a single-center retrospective review

  • By

  • A. Troester

  • J. Frebault

  • E. Von Der Marwitz

  • E. Arsoniadis

  • S. M. Goldberg

  • P. Goffredo

  • C. Jahansouz

  • November 28, 2025

  • 0 min

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  • 1

    Anal fistulas occur in about one-third of patients post-anorectal abscess treatment, with a male predominance and average age of 40 years.

  • 2

    Complex anal fistulas involve significant sphincter muscle and require advanced surgical techniques, including the LIFT procedure.

  • 3

    The modified LIFT approach aims to reduce recurrence rates by offsetting ligated fistula ends with interposed sphincter muscle plication.

  • 4

    A total of 32 adults underwent the modified LIFT procedure at the University of Minnesota, with a minimum follow-up of four weeks.

  • 5

    Postoperative management included multimodal pain relief, antibiotics, and regular follow-ups to monitor healing and complications.

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