high anal fistula
Conditions
Interventions
Experimental group:Modified TROPIS procedure
Control Group:Traditional Incision and Thread-Drawing Surgery
Sponsors
Xiyuan Hospital, China Academy of Chinese Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: (1) Age: 18-75 years old, with no restriction on gender; (2) Patients with high anal fistula (intersphincteric type) confirmed by preoperative pelvic MRI examination. (3) Voluntarily participate in this clinical trial, understand and sign the informed consent form.
Exclusion criteria
Exclusion criteria: (1) Patients with comorbidities such as diabetes, severe cardiovascular system diseases, hematological system diseases, and abnormal liver or kidney function; (2) Patients with high anal fistula caused by the following diseases: Crohn's anal fistula, rectovaginal fistula, colorectal inflammation, tuberculosis, HIV, tumors, or trauma; (3) Patients with confirmed anal sphincter insufficiency by preoperative anorectal manometry or anorectal ultrasound, or those with recurrent fistula lesions after previous radical surgery for anal fistula; (4) Special populations: pregnant women, lactating women, and patients with severe mental disorders; (5) Patients or their family members who refuse follow-up midway or are lost to follow-up due to incomplete data.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluation of Clinical Efficacy and Recurrence; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative Pain and Postoperative Complications;Anal Function: Wexner Score;Anorectal Manometry; | — |
Countries
china
Contacts
Public Contactzhaoweibing
Xiyuan Hospital of China Academy of Chinese Medical Sciences
Outcome results
None listed