Anorectal Fistula
Conditions
Keywords
Anorectal fistula, LIFT, Seton
Brief summary
The aim of this study is to compare short term (3 week) with long term (6 months) treatment with seton prior to LIFT surgery. The main end-points are recurrence rates and complication rates after surgery.
Interventions
Ligation of intersphincteric fistula tract
Sponsors
Study design
Eligibility
Inclusion criteria
* Age between 20 and 65 years * Complex anal fistula defined as * anterior fistulas in women * branched fistulas * fistulas in patients with anal incontinence * fistulas traversing more than 30% of the anal sphincter and therefore unsuitable for simple division.
Exclusion criteria
* Crohn's disease in the rectum * Previous LIFT surgery on same side * Patient already treated with seton \> 3 weeks * Not able or willing to sign informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recurrence rate | 1 year | Recurrence or non-healing of anal fistula one year after LIFT surgery |
| Complication | 1 year | Main complication being anal incontinence measured by St.Marks score, but all major and minor complications are registered. |
Countries
Norway