Comparative Study: Fistula Rerouting vs. LIFT for High Perianal Fistula
The goal of this clinical trial is to compare two different surgery methods for treating a complex type of anal fistula. This condition is an abnormal tunnel connecting the inside of the anus to the skin nearby. The main questions the study aims to answer are:
Which surgery has a lower chance of the fistula coming back (recurrence)?
Which surgery has a lower chance of causing problems with bowel control (incontinence) after healing?
Researchers will compare two surgery groups:
Group 1: Fistula Rerouting Technique - a two-step surgery that moves the fistula tract to a safer area before opening it.
Group 2: LIFT Technique - a surgery that ties off and closes the fistula tract from between the anal muscles.
Participants will be randomly assigned by a computer to one of these two surgery groups. This helps ensure the comparison between the two surgeries is fair.
Participants in this study will:
* Have tests before surgery, including an MRI scan, to confirm they have the specific type of fistula being studied.
* Undergo one of the two planned surgical procedures.
* Attend follow-up visits after surgery at 1 week, 2 weeks, 1 month, and 3 months.
* Be checked during these visits for wound healing, pain, infection, and bowel control.
* Have another MRI scan if the fistula is suspected to have come back.
Gender: All
Ages: 20 Years - 65 Years
