Anal and criptoglandular fistula
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Signed consent Older than 18 years Cryptoglandular anal fistulas. There may be at most 3 external orifices open and a maximum one inner hole. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 104 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Filed or coexisting undrained collections. ASA IV History of radiation therapy in the perineal area No internal opening Pregnant (IF POSSIBLE PREGNANCY PREGNANCY TEST DO) immunosuppression Patients with active neoplasia or neoplasia has had a less than a year. HIV Simple fistula (submucosal / subcutaneous / low intersphincteric)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the efficacy and safety of PRGF as sealant for the treatment of anal fistula cryptoglandular against fibrin, which is the current gold standard treatment for sealing anal fistulas.;Secondary Objective: - To assess the clinical response are wholly or partially, at each visit and at the end of the trial, compared to baseline data. - Assess the time to clinical remission wholly or partially defined at each visit and at the end of the trial, compared to baseline data. - To assess the radiological response by endoanal ultrasound at the end of the trial compared to baseline ultrasound data. - Assess changes in quality of life, assessed using the Quality of Life Questionnaire SF36 at each visit and at the end of the trial, compared to baseline data. Safety evaluation;Primary end point(s): The fistula is considered cured when the external fistula orifice, are closed and / or does not drain after compression finger. Persistence of symptoms after three months of surgery: recurrence and / or failure of treatment is considered.;Timepoint(s) of evaluation of this end point: At three, six, and twelve months after treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): The safety assessment will be part of the secondary endpoints and include possible adverse events PRGF measured by recording adverse events reported during the study and clinical findings of the physical examination. The evaluation will also consider the evaluation of fecal incontinence.;Timepoint(s) of evaluation of this end point: At three, six, and twelve months after treatment | — |
Countries
Spain
Contacts
C. HOSPITALARIO VIRGEN DEL ROCIO