High Anal Fistula
Conditions
Keywords
Cutting seton, Fistulectomy
Brief summary
The aim of this study is to assess the effectiveness and suitability of the tight (cutting) seton as a surgical treatment of high anal fistula combined with partial fistulotomy or fistulectomy in a prospective study.
Detailed description
Anal fistula is an abnormal tract with two openings: external one opens in perianal skin and the internal one opens in anal canal. And according to relation between fistula and anal sphincters there are intersphincteric, transphincteric, suprasphincteric and extrasphincteric. Varieties of surgical procedures are encountered for management of this disease but complications such as recurrence and incontinence still facing surgeons strongly. In previous study of total 31 patients post-operative complications were; incontinence of gas (16.13%), incontinence of stool (3.23%), recurrence (3.23%) with conclusion of that: outcomes of fistulotomy with cutting seton were satisfactory in most patients (1). In this study and aiming to reduce the complications rate data will be collected about the outcomes of combined partial fistulectomy or fistulotomy and cutting seton procedure in a prospective study. The goals of treatment are draining infection, eradicating the fistulous tract and avoiding persistent or recurrent disease while preserving anal sphincter function.
Interventions
PROCEDUREcombined partial fistulectomy or fistulotomy and cutting seton procedure
Partial excision of fistulous tract or just fistulotomy plus cutting seton procedure which is a rubber band or threads put through fistulous tract
Sponsors
Assiut University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Adult with age of or above 18 years. * Patients with high perianal fistula; trans-sphincteric, intra-sphincteric or supra-sphincteric. * Patients sable to comply to with the study protocol.
Exclusion criteria
* Patients with low perianal fistula * Patients with preoperative incontinence. * Patients with comorbidities such as TB , malignancy or inflammatory bowel disease. * Patients diagnosed with acute anal sepsis * Recurrent cases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| - Cure of high perianal fistulas -Reduce incontinence rate | 1 year | Cure from the main problem of the patient and prevent its recurrence |
Countries
Egypt
Outcome results
None listed