Drainage Seton With Flap Versus EAS Preserving Seton in Treatment of Transsphincteric Anal Fistula

Mansoura University100 enrolled

Overview

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

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

100

Conditions

Anal Cancer

Interventions

Drainage seton with flapPROCEDURE

Seton is placed around the external sphincter then mucosal advancement flap will be constructed

EAS sparing setonPROCEDURE

Rerouting of the seton around the internal sphincter only sparing the external sphincter

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients suffering from high trans-sphincteric anal fistula 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.

Locations (1)

Mansoura university hospital

Al Mansurah, Dakahlia Governorate, Egypt

Outcomes

Primary Outcomes

fecal incontinence

Number of patients who develop fecal incontinence as assessed by Wexner Incontinence score

Time frame: 12 months after surgery

Data from ClinicalTrials.gov

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