Fistulotomy With or Without Marsupialization for Treatment of Simple Anal Fistula

Mansoura University60 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Anal Fistula

Interventions

FistulotomyPROCEDURE

The fistula track is laid open after complete probing till the internal opening

MarsupializationPROCEDURE

The laid open track will be marsupialized using interrupted absorbable sutures

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

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). 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.

Locations (1)

Mansoura university hospital

Al Mansurah, Dakahlia Governorate, Egypt

Outcomes

Primary Outcomes

Time to complete healing

The duration of time required to achieve complete wound healing

Time frame: 8 weeks

Data from ClinicalTrials.gov

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