Anal Fistula Clinical Trial
Official title:
Seton Placement vs. Surgisis Anal Fistula Plug Insertion for Perirectal Fistula: A Prospective Randomized Study
The purpose of this study is to determine if the collagen plug method heals perirectal fistulae as well as the conventional seton method.
Traditional treatments for transsphincteric perirectal fistulae rely upon an immediate
(fistulotomy) or delayed (seton) transsection of the sphincter muscle possibly resulting in
fecal incontinence, take a long time to heal, and/or are associated with significant failure
rates (ex. fibrin glue).
Newer treatment concepts such as the collagen plug do not physically interrupt the sphincter
muscle, avoid and minimize the risk of fecal incontinence, and decrease the time to fistula
healing. Exciting initial reports have confirmed the collagen plug's utility in treating
perirectal fistulae, but a systematic scientific comparison is needed to validate the new,
less invasive plug method.
The primary goal of this study is to show that the collagen plug heals transsphincteric
perirectal fistulae as well as the conventional seton method.
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