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Intersphincteric Approach to Perianal Fistula With High Risk for Postoperative Fecal Incontinence

NCT ID: NCT02994524

Last Updated: 2016-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-28

Study Completion Date

2016-10-31

Brief Summary

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.Rerouting operation takes the advantage of minimal recurrence rate as well as minimal incontinence that is associated with less sphincter division,It is indicated in patients with transsphincteric fistula in whom lay open is expected to be associated with significant incontinence .

Detailed Description

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Lay open is the classic surgical management for Peri Anal fistula,however division of significant portion of anal sphincter may be divided with postoperative fecal incontinence,Many surgical techniques have been described for sphincter preservation ,But unfortunately associated high recurrence rate.Rerouting operation takes the advantage of minimal recurrence rate as well as minimal incontinence that is associated with less sphincter division,It is indicated in patients with transsphincteric fistula in whom lay open is expected to be associated with significant incontinence .The operation is done in tow stages ,the first is to mobilize the transsphincteric part into the inter sphincteric plane thus converting it to intersphincteric fistula which is then laid open , with division of internal sphincter with preserving external sphincter.

Conditions

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High Transsphincteric Perianal Fistula

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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transsphincteric perianal fistula

Rerouting technique done in patients with high transsphincteric fistula or with high internal opening.

Group Type OTHER

Rerouting technique for transsphincteric perianal fistula

Intervention Type PROCEDURE

Interventions

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Rerouting technique for transsphincteric perianal fistula

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* High arching transsphincteric fistula
* Transsphincteric fistula with high internal opening
* Transsphincteric fistula with short anal canal.
* Horseshoe perianal fistula fulfilling above criteria.

Exclusion Criteria

* Transsphincteric fistula.
* Low perianal fistula.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yasser Mohamed Abdel-samii

OTHER

Sponsor Role lead

Responsible Party

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Yasser Mohamed Abdel-samii

Lecturer

Responsibility Role SPONSOR_INVESTIGATOR

Other Identifiers

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06379

Identifier Type: -

Identifier Source: org_study_id