LIFT Procedure
Ligation of the Intersphincteric Fistula Tract - a sphincter-preserving surgical technique that ties off and divides the fistula tract between sphincters without cutting any sphincter muscle, protecting bowel control completely.
What is LIFT Procedure?
The LIFT (Ligation of Intersphincteric Fistula Tract) procedure addresses trans-sphincteric anal fistulas through a small incision in the intersphincteric groove. The fistula tract is identified where it crosses between the internal and external sphincters, ligated with absorbable sutures on both sides, and divided - without cutting any sphincter muscle fibres. The external tract is then curetted.
Dr. Samhitha Reddy performs the LIFT procedure at Lux Hospitals, Hyderabad as a preferred sphincter-preserving option for low and mid trans-sphincteric fistulas. As part of the minimally invasive anal fistula surgery in Hyderabad programme, it offers an excellent balance of cure rate and sphincter preservation - particularly valuable for patients at elevated incontinence risk.
LIFT is most effective for primary (non-recurrent) trans-sphincteric fistulas with a well-defined single tract. For complex, recurrent, or high fistulas, FiLaC or advancement flap may offer better outcomes.
How the Procedure Works
Pre-operative Imaging
Endoanal ultrasound or MRI confirms a single, well-defined trans-sphincteric tract suitable for LIFT.
Intersphincteric Incision
Under spinal or general anaesthesia, a small curvilinear incision is made over the intersphincteric groove at the appropriate clock position.
Tract Identification & Ligation
The fistula tract is identified in the intersphincteric space using a probe, ligated with absorbable sutures on both sides, and divided.
External Tract Curettage
The external portion of the fistula tract is curetted. The external opening is left open to drain. No sphincter fibres are divided at any point.
Wound Closure & Recovery
The intersphincteric incision is closed with absorbable sutures. Discharged same day or next morning. Recovery in 2–3 weeks with regular dressings.
Outcomes
Who Needs This Treatment?
- →Complete sphincter preservation - zero risk of incontinence from sphincter division
- →Simple intersphincteric approach with minimal tissue disruption
- →Day-care or overnight procedure - no extended hospital admission
- →Good success rates (70–80%) for primary, simple trans-sphincteric fistulas
- →Repeatable if the first attempt partially fails - does not compromise future techniques
- →Shorter recovery and less discomfort than open fistulotomy for high fistulas
The LIFT procedure gives us a very clean anatomical approach to trans-sphincteric fistulas. We work entirely in the intersphincteric plane without touching the sphincter fibres - and when it works, it provides durable, complete closure.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
LIFT Procedure Cost in Hyderabad
The cost of the LIFT procedure (Ligation of Intersphincteric Fistula Tract) in Hyderabad depends on the type of fistula, complexity of the tract, investigations required, surgical technique, and the care needed before and after the procedure.
For conditions such as trans-sphincteric anal fistula, where the LIFT procedure may be recommended, the approximate cost ranges between ₹45,000 and ₹85,000.
| Procedure | Approximate Cost Range |
|---|---|
| LIFT Procedure Trans-sphincteric Fistula | ₹45,000 – ₹85,000 |
The final cost may vary depending on your individual condition, fistula tract characteristics, findings during evaluation, and whether any additional procedures or post-operative care are required.
Factors That Influence LIFT Procedure Cost
The overall cost may depend on:
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Type and complexity of fistula: The location of the fistula tract, involvement of the anal sphincter muscles, and complexity of the fistula can influence the surgical approach and treatment cost.
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Pre-operative evaluation: Required investigations, clinical examination, imaging tests, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If procedures such as abscess drainage, seton placement, fistula mapping, or additional treatment for associated anorectal conditions are required, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, wound care, follow-up consultations, and recovery requirements may influence the final estimate.
Is LIFT Procedure Covered by Insurance?
The LIFT procedure may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, waiting periods, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr Samhitha Reddy, Proctologist and Colorectal Surgeon in Hyderabad, will evaluate your symptoms, fistula type, medical history, and examination findings to determine whether the LIFT procedure is suitable for you. She will explain the procedure, expected recovery, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.