Anal Fistula
Conditions
Brief summary
Patients with simple anal fistula will undergo fistulotomy operation and will be divided into two groups: the first will undergo marsupialization of the laid open fistula track and second group will not undergo marsupialization. The effect of marsupialization on healing of anal fistula will be compared postoperatively.
Interventions
PROCEDUREFistulotomy
The fistula track is laid open after complete probing till the internal opening
PROCEDUREMarsupialization
The laid open track will be marsupialized using interrupted absorbable sutures
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Both genders * Age: 18-65 years * All Patients with primary simple anal fistula (subcutaneous, intersphincteric, or low trans-sphicnteric involving less than 25% of external anal sphincter fibers).
Exclusion criteria
* High trans-sphincteric, extra-sphincteric, supra-sphincteric, secondary. * Recurrent anal fistulas. * Patients associated with anorectal pathology such as anal fissure, hemorrhoids, rectal prolapse, neoplasm, solitary rectal ulcer, inflammatory bowel diseases and TB. * High risk patients according to ASA (American society of anesthesiologists ) * Any degree of incontinence. * Patients with previous anal surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to complete healing | 8 weeks | The duration of time required to achieve complete wound healing |
Countries
Egypt
Outcome results
None listed