Online ISSN: 2515-8260

Keywords : incontinence

Ligation of Intersphincteric Fistula Tract (LIFT) versus conventional fistulectomy in management of low fistula in ano: A comparative study from a tertiary hospital

Dr. Balaji Laxmanrao Salunke, Dr. Lamture Yeshwant Ramrao

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 2169-2174

Background: Fistula in ano is an abnormal track connecting the anal canal with the perineum. Different treatment modalities are available for managing anal fistulae, such as fistulotomy, fistulectomy, ligation of intersphincteric fistula tract (LIFT), seton placement, advancement flaps, and use of biological agents like fibrin glue. The present study aimed to compare Ligation of intersphincteric Fistula Tract (LIFT) versus conventional fistulectomy in treating low fistula in ano at a tertiary hospital.
Material and Methods: Present study was a single-center, comparative study conducted on patients suffering from low anal fistula between 18-55 yrs.
Results: 80 patients were divided into groups Group A (LIFT procedure) & Group B (conventional fistulectomy), with 40 patients in each group. Among various Intra-operative & Postoperative Factors, we noted that Group A (LIFT) had less mean duration of surgery, less hospital stay, less need for analgesics, less mean duration of wound healing, less mean duration of return to work as compared to Group B (Conventional Fistulectomy) & difference was significant statistically (p<0.001). Postoperative complications were more minor in Group A (LIFT) (only 1 case of incontinence) as compared to group B (Conventional Fistulectomy) (2 cases of Wound infection/Abscess, two instances of incontinence & 1 patient of recurrence), but the difference was not significant statistically.
Conclusion: The ligation of intersphincteric fistula tract (LIFT) procedure is easy to learn, perform, safe, has a high healing rate, low morbidity, quickly treats fistula in ano & better fecal continence preservation compared to open fistulectomy.

A design and application of unobtrusive sensor system to support incontinence care of elderly nursing homes

Jhansi RaniSujatha, Sujatha, C. Rathiga,S. Sireesha .

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 2899-2905

Patients in long-term care facilities often suffer from incontinence. Elderly people are burdened physically and mentally, but so are caretakers, who have to deal with an increased task. In order to alleviate the burden of caring for someone with incontinence, there are a variety of technological solutions available. Because of this, these systems are too expensive. Residents of nursing homes complain about the inconvenience of these facilities. To find a solution to address these issues, we've developed an attached sensor a mattress equipped with incontinence detection and monitoring technology events. Bluetooth Low Energy and Influx DB were used to create a prototype. Using the sensor data, may be accessed by other systems in real-time so that it may be put through even more checks. There will be more safeguards in the future energy measurements and other components may be used to create the system is completely relocatable.