This is a randomized comparative clinical trial carried out to compare between laser ablation and surgery in treating anal diseases in inflammatory bowel diseases patients and find out if one is superior to the other. Inflammatory bowel diseases patients with anal problems were divided into 2 groups, one group had traditional surgery and the other had laser ablation for anal diseases and results were compared between the 2 groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
108
treatment of anal diseases in inflammatory bowel patients
laser
traditional surgery
Zagazig University Hospitals
Zagazig, Egypt
Operation time
operation time in minutes was studied between the 2 groups
Time frame: Intraoperative (from skin incision to wound dressing.)
operative bleeding
bleeding in cc was calculated between the 2 groups
Time frame: Intraoperative to 2 weeks after operation.
post operative anal discharge
presence of post operative anal discharge was detected in the 2 groups
Time frame: from incision to 2 weeks after operation.
pain score with visual analogue scale
pain score with visual analogue scale was studied between the 2 groups,minimum score is 0 which means painless and maximum score is 10 which means very painful
Time frame: from the 1st day to 2 weeks postoperatively
Healing time
time for complete healing after operation was studied between the 2 groups
Time frame: healing time was studies from the 1st day to 3 months after operation
Return to work
Return to work after operation was studied between the 2 groups
Time frame: Return to work was assessed from one day to 2 months after surgery
patient satisfaction score
patient satisfaction score among patients in the 2 groups was studied using customer satisfaction score, minimum score is 1 means very dissatisfied and maximum score is 10 means very satisfied
Time frame: from one day to 3 months after operation
Recurrence
recurrence between 2 groups was assessed
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Time frame: detection of recurrence from 3 to 6 months after operation
Fistula occurence
fistula occurence studied between the 2 groups
Time frame: from 2 weeks to 2 months after operation
Stenosis
post operative stenosis between the 2 groups was studied
Time frame: stenosis was detected from wound healing to 6 months later
Discharge from hospital
hospital stay studied between the 2 groups
Time frame: from one day post operative to one week
age
age in the 2 groups was studied
Time frame: age of participants was recorded for one year duration of the study
sex
sex was studied in the 2 groups
Time frame: sex of participants was recorded for one year duration of the study
specific disease
diagnosis of crohn's disease, ulcerative colitis, non specific colitis by colonoscopy and biopsy was done in the 2 groups
Time frame: diagnosis of diseases known 2 days before surgery from history