الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Background: Complex anal fistula has been a hot topic in clinic. Many surgical techniques have been described for the treatment of such anal fistula, including the use of seton, fibrin glue, collagen plugs, rectal advancement flaps, fistulotomy with sphincter repair, and rerouting the fistula tract. However, the results have been variable, and no one procedure is superior to the others absolutely. It is worth our concern that the goal of any treatment procedure is to obliterate the tract and to have low recurrence rates while maintaining full continence.
Aim of the Work: an objective comparison was made between the two procedures focusing on multiple aspects of both procedures to stand on the superiority of each one over the other. We compared data including: Healing time, post operative bleeding and infection, recurrence rates and continence.
Patients and Methods: The study was conducted over 60 patients with high trans-sphincteric fistulas, randomly divided into 2 equal groups, who underwent Rerouting of the tract and LIFT procedure.
Results: In comparison of the recurrence rate, postoperative complications and continence the results were similar in both groups with no statistically significant difference.
Conclusion: In patients with high trans-sphincteric anal fistulas, both ligation of intersphincteric fistula track procedure and rerouting technique have a similar long-term healing rate, recurrences, continence, and quality of life.