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Patients with anal fistula who will undergo anal fistulotomy will be randomized into one of two groups; the first group will receive topical phenytoin therapy postoperatively and the second group will not receive such topical treatment.
Patients with anal fistula who will undergo anal fistulotomy will be randomized into one of two groups; the first group will receive topical phenytoin therapy postoperatively and the second group will not receive such topical treatment.
Healing of the wound after fistulotomy will be observed every week and the duration till complete healing will be recorded. The two groups will be compared regarding the mean duration till complete healing and postoperative complications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phenytoin 2% spray | Active Comparator | Patients undergoing anal fistulotomy with postoperative topical phenytoin therapy |
|
| Anal fistulotomy | Active Comparator | Patients undergoing anal fistulotomy without postoperative topical therapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Phenytoin 2% spray | Drug | Patients will undergo anal fistulotomy then they will use phenytoin 2% spray topically on the anal wound resulting from fistulotomy with each sitz bath (twice per day) untill the anal wound heals completely |
| Measure | Description | Time Frame |
|---|---|---|
| Healing | Complete epithelilization of the fistulotomy wound without persistent external openings or discharge | 4-8 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sameh Emile, M.D. | Contact | sameh200@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Sameh H Emile, M.D. | Mansoura University, Faculty of medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mansoura university hospital | Recruiting | Al Mansurah | Dakahlia Governorate | Egypt |
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| ID | Term |
|---|---|
| D012003 | Rectal Fistula |
| ID | Term |
|---|---|
| D007412 | Intestinal Fistula |
| D016154 | Digestive System Fistula |
| D004066 | Digestive System Diseases |
| D007410 | Intestinal Diseases |
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| ID | Term |
|---|---|
| D010672 | Phenytoin |
| ID | Term |
|---|---|
| D006827 | Hydantoins |
| D048289 | Imidazolidines |
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 |
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|
| Anal fistulotomy | Procedure | Probing of the fistula tract followed by lay open of the tract and curettage of granulation tissue in its base |
|
|
| D005767 | Gastrointestinal Diseases |
| D012002 | Rectal Diseases |
| D005402 | Fistula |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |