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

Mansoura University

Status: Completed

Conditions: Anal Cancer

Treatments: Procedure: EAS sparing seton; Procedure: Drainage seton with flap

Study type: Interventional

Funder types: Other

Identifiers

NCT03983174

Mansoura102

Details and patient eligibility

About

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

Enrollment: 100 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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100 participants in 2 patient groups

Drainage seton with flap

Experimental group

Description:

Drainage seton will be put around the external anal sphincter with mucosal advancement flap

Treatment:

Procedure: Drainage seton with flap

EAS sparing seton

Experimental group

Description:

Rerouting of the seton around the internal anal sphincter sparing the external sphincter will be done

Treatment:

Procedure: EAS sparing seton