perianal fistula. Fistula, other specified site
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Complex anal fistula "recurrent fistula, high trans sphincteric fistula, supra sphincteric fistula, extra sphincteric fistula, and horseshoe fistula" patient who is older than 18 years of age Patients who can sign informed consent
Exclusion criteria
Exclusion criteria: Patients with Crohn's disease, HIV, BCG and hepatitis Significant Medical Comorbidity such as Active Cardiac Angina Uncontrolled Diabetes Mellitus and Active Collagen Vascular Disease Renal and Hepatic Failure Pregnancy or breastfeeding Neoplasia or anorectal cancer Alcohol and drug addiction Undischarged perianal fistula Patients taking immunosuppressive drugs Bone Marrow Dysfunction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment of Efficacy and Safety allogeneic adipose derived mesenchymal stem cells along with platelet-rich fibrin for perianal fistula. Timepoint: One month and six months. Method of measurement: The clinical examination will be performed repeatedly by a specialist surgeon at intervals of the third day, the tenth day, the first month, the third month, and the sixth month. MRI evaluation will also be done in the sixth month. In addition, the length of hospital stay, infections, any other serious complications, and bleeding and their survival will be recorded. It should be noted that at time points of one month and six months after injection, in addition to reporting the results of the above parameters, CRP levels will be evaluated. | — |
Secondary
| Measure | Time frame |
|---|---|
| Wound healing. Timepoint: Six month. Method of measurement: Accurate measurement using digital calipers with an accuracy of one hundredth of a millimeter.;Infection improvement in the wound area. Timepoint: Six month. Method of measurement: Examination of the wound site and history. | — |
Countries
Iran (Islamic Republic of)
Contacts
Iranian academic center for education culture and research