Today, there is no available equipment specifically designed for the procedure of instillation of fibrin glue for the repair of perianal fistulae. The currently used equipment involves surgical tools generally used for fistula surgeries, and injection syringes designed for general use. The injection of biological adhesives is performed using standard adhesive syringes that are not specially designed for use in perianal fistulae. The use of the semi-flexible metal probes can cause trauma to tissue and injure the fistula tract, creating an additional path, and the injection syringe and catheter are often inconvenient for perianal use. This study was design to test the use of Halevy kit, by gastroenterology specialist, as a non traumatic probing, mechanical debridement and injecting or inserting device for treatment substances in perianal fistulas. In this study a gastroenterologist will perform the procedure, in each procedure a trained colorectal surgeon will be present during the surgery to oversee the procedure and to provide surgical help if required.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
10
the use of Halevy kit in Crohn patients with Fistulas
Hadassah medical center
Jerusalem, Israel
Success of cannulation of the perianal fistula using the Pathway Probe Catheter will be evaluated
Time frame: after sugery
Success in using the cleaning brush in preparing the fistula for biologic adhesive injection will be evaluated
Time frame: after surgery
Success in inserting a draining Seton into the fistula tract by the Halevy kit
Time frame: after surgery
Success of injecting biologic adhesive into the fistula tract using the designated catheter will be evaluated
Time frame: after surgery
Control of sphincter will be evaluated by -the Cleveland continence score
Time frame: after follow up
Discharge from fistula will be evaluated by a questionnaire comparing the situation before and after surgery.
Time frame: after follow up
Healing of the fistula will be evaluated by a physical examination
Time frame: after follow up
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