Anal Fistula Surgery — LIFT Procedure
DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Ligation of the Intersphincteric Fistula Tract (LIFT)
ANAESTHETIC: General / spinal anaesthesia
ANTIBIOTICS: [Drug and dose / Not indicated]
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
POSITION: Prone jack-knife / lithotomy
INDICATION:
Trans-sphincteric anal fistula with a well-defined intersphincteric component — not amenable to simple fistulotomy due to sphincter involvement. [Pre-existing draining seton in situ — removed at this procedure]. MRI pelvis confirming single-track trans-sphincteric fistula without high extension. Preoperative continence assessment satisfactory.