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

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title:

Brief Summary: .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 Summary: 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.
Sponsor: Yasser Mohamed Abdel-samii

Current Primary Outcome: Rerouting technique decrease incidence of fecal incontinice after high transsphincteric perianal fistula surgery . [ Time Frame: one year ]

Original Primary Outcome: Same as current

Current Secondary Outcome:

Original Secondary Outcome:

Information By: Ain Shams University

Dates:
Date Received: December 8, 2016
Date Started: February 2014
Date Completion:
Last Updated: December 13, 2016
Last Verified: December 2016