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Patients with high horseshoe anal fistula will be randomized to one of two equal group: treatment group will have decompression and drainage seton and control group will undergo cutting seton.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Decompression and drainage seton | Experimental | Decompress the pressure in intersphincteric space,and drainage seton will be put around the external anal sphincter. |
|
| Cutting seton | Experimental | Cutting seton will be put around the internal and external anal sphincter. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Decompression and drainage seton | Procedure | Incision the internal sphincter over the fistula tract in intersphinteric space to achieve decompression then drainage seton will be put around external sphincter. |
| Measure | Description | Time Frame |
|---|---|---|
| Recurrence rate | recurrence was defined as the clinical reappearance of the fistula after complete healing. | 12 months after the procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hui Li, bachelor | Contact | 0861084206250 | 358219241@qq.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| China-Japan friendship | Recruiting | Beijing | Beijing Municipality | 100029 | China |
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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 |
|---|---|
| D003664 | Decompression |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D011312 | Pressure |
| D055595 | Mechanical Phenomena |
| D055585 | Physical Phenomena |
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| Cutting seton | Procedure | Cutting seton is introduced from outside openning to internal openning and encircling the internal and external anal sphincter. |
|
| D005767 | Gastrointestinal Diseases |
| D012002 | Rectal Diseases |
| D005402 | Fistula |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |