This study aims to compare the efficacy of two surgical techniques in treatment of complex anal fistulas. The first technique involves rerouting of the fistula tract with placement of a vessel loop seton around the internal anal sphincter, sparing the external sphincter whereas the second technique entails ligation of inter-sphincteric fistulous tract (LIFT). The main objectives of the study are to assess the success rate, time to healing, change in quality of life, and complications of each procedure including fecal incontinence.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
77
Excision of superficial fistula tract and placment of seton with rerouting of the fistula tract around the internal anal sphincter
Ligation of the intersphincteric fistula tract
Mansoura university hospital
Al Mansurah, Dakahlia Governorate, Egypt
RECRUITINGClinical Healing of anal fistula
Clinical healing is assessed by clinical examination during follow-up and is defined as Complete epithelization of the anal wound with no residual fistula tract or external opening or discharge
Time frame: 12 months after surgery
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