A Comparative Study Between High Ligation of The Inter-sphincteric Fistula Tract via Lateral Approach Versus Fistulotomy and primary sphincteroplasty in High Trans-Sphincteric Fistula-in-Ano

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

PACTR

Registry ID

PACTR202306629134838

Enrollment

Registered

2023-06-29

Start date

2020-06-01

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Surgery

Interventions

modified LIFT

FIPS

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: patients who are above 18 years old and were diagnosed with high trans-sphincteric fistula by Magnetic Resonance Imaging (MRI).

Exclusion criteria

Exclusion criteria: : patient who are less than 18 years old, refusing to do surgery, Inter-sphincteric fistula, horseshoe fistula, Branching fistula, Supra-sphincteric fistula, Previous anal surgery, Inflammatory Bowel Disease as Crohn’s, tuberculosis and patients with history of fecal incontinence.

Design outcomes

Primary

Measure	Time frame
Fistulotomy and primary sphincteroplasty is an effective and preferred technique for the trans-sphincteric fistula repair with high statistically significant lower incidence of recurrence in one-year follow-up as compared to modified LIFT technique. Although, there is higher incidence regarding incontinence to gases only post-operative. This work recommends fistulotomy and primary sphincter reconstruction procedure in high trans-sphincteric perianal fistulas to be more popular, to be implemented as a corner stone procedure along various and classic operations for such cases as it’s easy, feasible.	—

Measure

Time frame

Fistulotomy and primary sphincteroplasty is an effective and preferred technique for the trans-sphincteric fistula repair with high statistically significant lower incidence of recurrence in one-year follow-up as compared to modified LIFT technique. Although, there is higher incidence regarding incontinence to gases only post-operative. This work recommends fistulotomy and primary sphincter reconstruction procedure in high trans-sphincteric perianal fistulas to be more popular, to be implemented as a corner stone procedure along various and classic operations for such cases as it’s easy, feasible.

—

Secondary

Measure	Time frame
Individual Participant Data (IPD) Sharing Stateme	—

Countries

Egypt

Contacts

Public ContactBasma Hassan

General suregon

basmabasam0100667@med.asu.edu.eg0021224229004

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Aug 9, 2026