Drainage Seton With Flap Versus EAS Preserving Seton in Treatment of Transsphincteric Anal Fistula
Not Applicable
Completed
- Conditions
- Anal Cancer
- Interventions
- Procedure: Drainage seton with flapProcedure: EAS sparing seton
- Registration Number
- NCT03983174
- Lead Sponsor
- Mansoura University
- Brief Summary
Patients with high trans-sphincteric anal fistula will be randomized to one of two equal group: group 1 will have drainage seton with mucosal advancement flap and group 2 will undergo external anal sphincter sparing seton
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 100
Inclusion Criteria
- Patients suffering from high trans-sphincteric anal fistula
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Exclusion Criteria
- Acute sepsis.
- Specific cause of fistula e.g. Crohn's disease
- Strictured anorectum.
- Any degree of incontinence
- Recurrent anal fistula.
- Low anal fistula.
- Previous anorectal surgery.
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Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Drainage seton with flap Drainage seton with flap Drainage seton will be put around the external anal sphincter with mucosal advancement flap EAS sparing seton EAS sparing seton Rerouting of the seton around the internal anal sphincter sparing the external sphincter will be done
- Primary Outcome Measures
Name Time Method fecal incontinence 12 months after surgery Number of patients who develop fecal incontinence as assessed by Wexner Incontinence score
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Mansoura university hospital
🇪🇬Mansourah, Dakahlia, Egypt