LIFT is a sphincter-saving procedure that is based on the concept of secure closure of the internal opening and concomitant removal of infected cryptoglandular tissue in the intersphincteric plane. Modified Parks technique involves adequate drainage of the intersphincteric space by extending the internal anal sphincterotomy. Placement of seton in the fistula track has been used for a long time and is still being currently used. Drainage two-stage seton is used to promote adequate drainage of infection and can be employed as a definitive treatment of anal fistula. This present randomized study aimed to compare LIFT, modified Parks technique, and two-stage seton in treatment of complex anal fistula in terms of success of treatment and complication rates.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
66
Ligation of the fistula tract in the intersphincteric plane
Modified Parks fistulotomy with complete internal anal sphincterotomy
Excision of the superficial part of fistula tract and tying loose seton around the remaining part and anal sphincter muscles
Mansoura university hospital
Al Mansurah, Dakahlia Governorate, Egypt
Healing of anal fistula
complete epithelization of the surgical wound was ascertained, the external and the internal openings were closed, and no discharge was experienced.
Time frame: 6 months after surgery
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