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Fistulotomy With or Without Marsupialization for Treatment of Simple Anal Fistula

Not Applicable
Completed
Conditions
Anal Fistula
Interventions
Procedure: Fistulotomy
Procedure: Marsupialization
Registration Number
NCT03595839
Lead Sponsor
Mansoura University
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
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).
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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.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Fistulotomy with MarsupializationMarsupializationLay open and Marsupialization of the fistula track
Fistulotomy without MarsupializationFistulotomylay open of the fistula track
Fistulotomy with MarsupializationFistulotomyLay open and Marsupialization of the fistula track
Primary Outcome Measures
NameTimeMethod
Time to complete healing8 weeks

The duration of time required to achieve complete wound healing

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Mansoura university hospital

🇪🇬

Mansourah, Dakahlia, Egypt

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