What is the elevator technique?

Ligation of technology intermediate fistula (LIFT®) is used to fix a fistula in YES or anal fistula and is considered a simplified approach to surgery. It is considered to be a low -ground, viable alternative to other procedures that include sealing fistula with tissues or plug. This technique was developed by Rojanasakul, a Thai surgeon based in Chulalalongkorn University in Bangkok, Thailand. In the case of anal fistula, the anal channel is open. This channel or tract passes through the muscle surrounding the rectum, known as the muscles of the sphincter, on the skin of the buttocks. If the opening or tract is infected, the fistula is formed. Further opening is an external opening of the fistula on the buttocks. The tube is inserted through the outer hole to identify the tract and clean the area out. Infected tissue, called cryptoglandular tissue, is then removed. The holes are then sealed to prevent further infection and re -occurrence of the fistula.

There is some danger in Lift® technology due to its proximity to external and inner fresh muscles. These muscles are what seals the rectum and prevent something entry or departure. Previous operations that used similar procedures to Lift® technology were unsuccessful when the inner sphincter was damaged and the anal mucous membrane was damaged. These procedures have often failed because the stitches have broken or blood supply to the area have been permanently damaged.

If the sphincter is damaged by surgery, the patient may become an incontinent. Due to damage, Sphincer cannot close fully and liquid and feces can leak by leakage. This was a problem in previous procedures, although repair after damage was made.

Although there is a low risk of damage to the sphincter using LIFT®, the problem with limited blood supply and broken stitches has been reduced because this procedure seals opening more securely by ligation. It is considered much safer than beforeBreaking similar procedures, because it goes into the space between the sphincters, unlike the muscles. That is why the LIFT® technique is referred to as a progress of a sphincter.