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EVALUATION OF RECURRENCE LEVEL OF LIGATION OF INTERSPHINCTERIC FISTULA TRACT (LIFT) AND LASER METHODS FOR ANAL FISTULA

Vahit MUTLU, Bülent KOCA, Serhan YILMAZ, Murat KALEMOĞLU, Kadir YILMAZ

Comprehensive Medicine - 2026;18(1):20-24

Department of General Surgery, Üsküdar University, İstanbul, Türkiye

 

Objective: This research aimed to evaluate the recurrence level of ligation of Intersphincteric Fistula Tract (LIFT) and Laser methods for anal fistula. Materials and Methods: A total of 71 patients who applied to Tokat Government Hospital and İstanbul Ataşehir Memorial Hospital between 2014 and 2024 were included in the study. The patients were divided into two groups: laser (n=30) and LIFT (n=41). Gender, age, fistula type, recurrence, follow-up period, and number of operations were analyzed in the study. Results: Gender, age, recurrence, fistula type, and number of operations differences between patient groups were statistically insignificant (p>0.05). The correlation between method, age, gender, number of operations, and fistula type was insignificant (p>0.05). Binary logistic regression analysis results for the effects of method and baseline characteristics on recurrence showed that the effect of method, age, gender, number of operations, and fistula type on recurrence was insignificant (p>0.05). Recurrence durations were similar between operation types, and the difference analysis was statistically insignificant (p>0.05). Conclusion: There was no statistically significant difference between LIFT and laser surgery. The results we obtained show that both LIFT and laser methods give the same results in terms of treatment success.