High Transsphincteric Perianal Fistula
Conditions
Brief summary
.Rerouting operation takes the advantage of minimal recurrence rate as well as minimal incontinence that is associated with less sphincter division,It is indicated in patients with transsphincteric fistula in whom lay open is expected to be associated with significant incontinence .
Detailed description
Lay open is the classic surgical management for Peri Anal fistula,however division of significant portion of anal sphincter may be divided with postoperative fecal incontinence,Many surgical techniques have been described for sphincter preservation ,But unfortunately associated high recurrence rate.Rerouting operation takes the advantage of minimal recurrence rate as well as minimal incontinence that is associated with less sphincter division,It is indicated in patients with transsphincteric fistula in whom lay open is expected to be associated with significant incontinence .The operation is done in tow stages ,the first is to mobilize the transsphincteric part into the inter sphincteric plane thus converting it to intersphincteric fistula which is then laid open , with division of internal sphincter with preserving external sphincter.
Interventions
PROCEDURERerouting technique for transsphincteric perianal fistula
Sponsors
Yasser Mohamed Abdel-samii
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* High arching transsphincteric fistula * Transsphincteric fistula with high internal opening * Transsphincteric fistula with short anal canal. * Horseshoe perianal fistula fulfilling above criteria.
Exclusion criteria
* Transsphincteric fistula. * Low perianal fistula.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rerouting technique decrease incidence of fecal incontinice after high transsphincteric perianal fistula surgery . | one year |
Outcome results
None listed