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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Drainage seton with flap | Experimental | Drainage seton will be put around the external anal sphincter with mucosal advancement flap |
|
| EAS sparing seton | Experimental | Rerouting of the seton around the internal anal sphincter sparing the external sphincter will be done |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Drainage seton with flap | Procedure | Seton is placed around the external sphincter then mucosal advancement flap will be constructed |
|
| Measure | Description | Time Frame |
|---|---|---|
| fecal incontinence | Number of patients who develop fecal incontinence as assessed by Wexner Incontinence score | 12 months after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sameh Emile, M.D. | Mansoura University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mansoura university hospital | Al Mansurah | Dakahlia Governorate | 35516 | Egypt |
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| ID | Term |
|---|---|
| D001005 | Anus Neoplasms |
| ID | Term |
|---|---|
| D012004 | Rectal Neoplasms |
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
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| ID | Term |
|---|---|
| D013524 | Surgical Flaps |
| ID | Term |
|---|---|
| D019738 | Surgically-Created Structures |
| D004864 | Equipment and Supplies |
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| EAS sparing seton | Procedure | Rerouting of the seton around the internal sphincter only sparing the external sphincter |
|
| D004067 |
| Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D007410 | Intestinal Diseases |
| D001004 | Anus Diseases |
| D012002 | Rectal Diseases |