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We do what's right for you
We do what's right for you...
Limb Lengthening By Ilizarov Technique
The Ligation of Intersphincteric Fistula Tract (LIFT) procedure is a modern sphincter-preserving surgical technique for the treatment of complex anal fistulas performed at Moolchand Hospital, one of the best hospitals for fistula treatment in Delhi. Anal fistulas are abnormal tunnels connecting the anal canal (usually originating from an infected anal gland) to the skin surface around the anus, causing persistent discharge, pain, recurrent perianal sepsis, and significantly reduced quality of life.
Trans-sphincteric fistulas — which pass through the external anal sphincter — represent the most challenging type of anal fistula to treat because any surgical technique that simply lays open (cuts through) the entire fistula tract would divide a significant portion of the external sphincter, risking faecal incontinence. This dilemma between achieving high cure rates and preserving continence is the central challenge in anal fistula surgery.
The LIFT procedure, first described by Rojanasakul in 2007, elegantly resolves this dilemma by accessing the fistula tract in the intersphincteric space — between the internal and external anal sphincters — through a small curved incision. The fistula tract is identified, carefully dissected free from the surrounding sphincter muscle, securely ligated (tied off) with absorbable sutures on the internal sphincter side, and divided. The intersphincteric wound is closed, and the external opening is curetted and left open to drain. At no point is any sphincter muscle divided, preserving the complete integrity of the anal sphincters and continence mechanism.
LIFT is suitable for trans-sphincteric fistulas that have been drained with a seton suture (a loose stitch placed through the fistula tract prior to LIFT to reduce inflammation) and for selected high trans-sphincteric fistulas in patients for whom fistulotomy would risk continence impairment. Success rates range from 60–80% and can be improved by combining LIFT with bioabsorbable mesh reinforcement (LIFT-PLUG technique) or collagen plug placement.
At Moolchand Hospital in Lajpat Nagar Delhi, our colorectal surgeons offer comprehensive anal fistula management including drainage, seton insertion, LIFT, fistula plug, advancement flap, and VAAFT (video-assisted anal fistula treatment) tailored to each patient's fistula anatomy and continence status.
Our team of globally acclaimed super specialists has pioneered several limb lengthening by ilizarov technique surgeries.
Senior Consultant
Dr. Rajeev K Sharma
2,150
2,150
Chairman, Moolchand Orthopaedics Institute
MS (Orth) Gold... 
33 Years 
Mon - Sat 
Senior Consultant
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Real patients...Real stories
Patients and their families from more than 50 countries around the world have benefited from our half-century old tradition of excellence in healthcare. Our excellence has led to Moolchand being a preferred choice for many VIP’s including international diplomats and business leaders. Here is what some of our patients have to say about their Moolchand experience.
Sarthak
Baby of Prashant Varshney
From Critical Illness to Full Recovery: The Moolchand Promise
Aarti V.
House wife
PCOS Support that Fits My Routine
Mohan K.
Ex -Service
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Ritu S
Business owner
Walking Easier with Knee Osteoarthritis
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Limb lengthening by Ilizarov Technique
Ligation of Intersphincteric Fistula Tract (LIFT) is a sphincter-preserving surgical procedure for treating trans-sphincteric anal fistulas by ligating and dividing the fistula tract in the intersphincteric plane, achieving high cure rates while protecting anal sphincter function and continence.
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