An observational study in Fistula in Ano, sponsored by Jabir Ibn Hayyan Medical University. Completed at 1 site in Iraq. Open to participants aged 20 Years to 60 Years. Per ClinicalTrials.gov, last updated 2022-02-03.
Sponsored by Jabir Ibn Hayyan Medical University · Observational
Fistula in ano is a chronic problem for the patients. It causes distressing because of foul odor and soiling with recurrent infection and discharge. Recurrence and anal sphincter injury were the most critical complications following surgery. Loose, thick Seton placement was the most promising surgical operation. To reduce the time of Seton placement, therefore, decreasing the suffering of patients from soiling and multiple dressing.
Background: Fistula in ano is a chronic problem for the patients. It causes distressing because of foul odor and soiling with recurrent infection and discharge. Recurrence and anal sphincter injury were the most critical complications following surgery. Loose, thick Seton placement was the most promising surgical operation. To reduce the time of Seton placement, therefore, decreasing the suffering of patients from soiling and multiple dressing.
Patients and Methods: A retrospective study. One hundred patients with high type fistula in ano treated surgically in Al-Sader Medical city and Al-Najaf daily private clinic, Najaf city, Iraq from Feb 2018 to March 2019. Fistulography and magnetic resonance imaging have taken from all patients. After that, fistulectomy with loose, thick Seton suture placed for three months. Patients with the persistence of high fistula tract underwent a second surgery and third operation until complete healing.
189 studies on the registry are indexed under Rectal Fistula; 42 are open to participants now.
This study's enrollment of 100 is close to the median of 94 across 50 observational studies indexed under Rectal Fistula.
Browse Rectal Fistula studies →Jabir Ibn Hayyan Medical University is the lead sponsor of 6 studies on the registry; none are open to participants now.
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Age distribution of patients showed that the highest rate of patients lies between the ages of 20-60 years adult population
Exclusion Criteria:
Low type fistula in ano below 16 years old
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All patients were informed about doing fistulectomy and thick silk Seton suture placement for three months by excising the extrasphincteric part and putting the Seton suture to the intersphincteric part. Then, the second stage of operation includes the excision of the changing low type tract in which the silk Seton placed. We decrease the time of Seton placement in this study for three months to reduce the annoying symptoms of the patients. Therefore, the patient admitted to the operation theater after obtaining written consent. Most of the patients anesthetized by spinal anesthesia. In the operation theater, the patient assumed a lithotomy position . After that, the injection of a solution, which is a mixture of methylene blue dye and hydrogen peroxide into the external opening of the fistula, was done to find the internal opening. The exit of color dye or bubbles achieved to localized of inner opening from it after using intraoperative proctoscopy examination.
Rapid healing and less recurrent
usage of loose Seton in high type FIA
Time frame: 2 year
Plan to share: Yes — Share data
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This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.
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Jabir Ibn Hayyan Medical University