Postoperative pain following laser fistula closure versus ligation of the intersphincteric fistula tract: A prospective double‐blinded randomized controlled trial

Background Prior studies focus primarily on surgical outcomes of anal fistula treatment, such as healing rates, rather than patient‐reported outcomes, such as postoperative pain, which could influence surgical choice. Objective To compare pain scores at 6 and 24 h postoperatively between laser closu...

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Bibliographic Details
Published in:World journal of surgery 2024-08, Vol.48 (8), p.1990-1999
Main Authors: Low, Jolynn Qian Lin, Rajandram, Retnagowri, Aziz, Mohamed Rezal Abdul, Roslani, April Camilla
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
colorectal surgery
Double-Blind Method
Female
Humans
laser fistula closure
Laser Therapy - methods
LIFT
Ligation - methods
Male
Middle Aged
Pain Measurement
pain score
Pain, Postoperative - etiology
Prospective Studies
Quality of Life
Rectal Fistula - surgery
transsphincteric anal fistula
Treatment Outcome
Young Adult
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Summary:Background Prior studies focus primarily on surgical outcomes of anal fistula treatment, such as healing rates, rather than patient‐reported outcomes, such as postoperative pain, which could influence surgical choice. Objective To compare pain scores at 6 and 24 h postoperatively between laser closure and ligation of the intersphincteric tract for anal fistula. Design Prospective, double‐blinded randomized controlled trial. Settings A quaternary hospital in Malaysia. Patients Patients aged 18–75 years with high transsphincteric fistulas. Intervention Fistula laser closure versus ligation of the fistula tract (LIFT) treatment. Main Outcome Measures Pain scores, continence, quality of life (QOL), operative time, and treatment failure were compared using chi‐square, Fisher's exact test, student t‐test, or Mann–Whitney with p 
ISSN:0364-2313
1432-2323
1432-2323
DOI:10.1002/wjs.12242