platelet rich plasma, peri-anal fistulas trombocytenrijk plasma, peri-anale fistels
Conditions
Interventions
This study consists of two arms. One arm will be treated conventionally with a mucosa advancement flap, with a seton procedure in advance.
The other arm will be treated with a mucosa advancement fla
Sponsors
Maastrich University Medical Center
adress: P.Debyelaan 25 6229 HX Maastricht
phonenumber: 043-387 65 43
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 18-80 years; 2. Able to understand informed consent; 3. Complex peri-anal fistula.
Exclusion criteria
Exclusion criteria: 1. Pregnancy; 2. Local malignancy; 3. Crohn's disease/ulcerative colitis; 4. A traumatic or iatrogenic lesion; 5. Trombocytopenia; 6. Splenomegaly; 7. Bleeding disorders; 8. Hematologic malignancies.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recurrent fistulas. The surgeon or docter in the outpatient clinic will decide if there is a recurrent fistula or not. In case of doubt a MRI will be made. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Visual analogue scale (VAS-score); 2. Quality of life (SF-36 questionnare); 3. Incontinence (Vaizey score). | — |
Contacts
Public ContactR. Wouda
Outcome results
None listed