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Background: Management of anal fistula is a challenging issue in surgical practice. No single technique is appropriate for treatment of all types of fistulas. The aim of this study was to evaluate the efficacy and safety of a new sphincter-sparing technique: ligation of the intersphincteric fistula tract LIFT for management of anal fistula.

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Anal fistula repair still remains challenging. One major reason for surgical failure is a persistent fistula track or remnants of the fistula epithelium which could not be removed during surgery. In a pilot study, we operated on 11 patients with cryptoglandular anal fistula.

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Surgical Treatment of Anal Incontinence pp Cite as. The commonest injury to the sphincter complex is obstetric [3]; by disruption at traumatic forceps delivery, tearing, or by misplaced episiotomy. If not recognised by the attending obstetrician and properly and promptly repaired, the wound will heal by secondary intention.

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There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years. CiteScore measures average citations received per document published.

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Backdoor entry is a deal-breaker for many women — a no-way, no-how, entirely off-limits scenario. Still, more than a third of women For some women, like me, anal sex can be a mind-blowing addition to the bedroom.

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Back to Anal fistula. There are several different procedures. In many cases, it's not necessary to stay in hospital overnight afterwards.

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LIFT technique is the novel modified approach through the intersphincteric plane for the treatment of fistula-in-anoknown as LIFT ligation of intersphincteric fistula tract procedure. LIFT procedure is based on secure closure of the internal opening and removal of infected cryptoglandular tissue through the intersphincteric approach. Essential steps of the procedure include, incision at the intersphincteric groove, identification of the intersphincteric tract, ligation of intersphincteric tract close to the internal opening and removal of intersphincteric tract, scraping out all granulation tissue in the rest of the fistulous tract, and suturing of the defect at the external sphincter muscle. In Matos et al.

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Anal fissure is a common problem and is associated with severe pain and rectal bleeding. It is a longitudinal or elliptical ischemic ulcer in the anoderm, extending below the dentate line to the anal verge. A retrospective pilot study 6 and another prospective trial 7 to analyze the manometric and clinical results on this technique have already been published and this study is being presented with a longer follow-up of 24 months.

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Which is a good thing! Women who've been there and done that say it's a welcome addition to their sexual repertoire. But just like you must walk before you can run, you must have some sort of anal foreplay before you go for the full monty of anal sex.

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