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Trial registered on ANZCTR
Registration number
ACTRN12612000605897
Ethics application status
Not yet submitted
Date submitted
5/06/2012
Date registered
6/06/2012
Date last updated
18/01/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Appraisal of the LIFT and BioLIFT procedure: initial experience and short-term outcomes of patients with complex anal fistula.
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Scientific title
Appraisal of the LIFT and BioLIFT procedure: initial experience and short-term outcomes of patients with complex anal fistula.
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Secondary ID [1]
280612
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none
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Universal Trial Number (UTN)
none
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
transphincteric anal fistula
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Condition category
Condition code
Surgery
286901
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0
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Surgical techniques
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Oral and Gastrointestinal
286927
286927
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
The purpose of this study is to evaluate and compare outcomes of patients where repair of transphincteric anal
fistula was performed using LIFT and BioLIFT techniques.
This is a retrospective review of patient who had undergone the LIFT and BioLIFT procedure. Data will be collected from the hospital medical records. Followup details will be obtained from surgeon's private rooms.
The 'intervention' group would be patient who had the BioLIFT procedure for treatment of transphincteric anal fistula, from 2011 to current, by a single surgeon. The BioLIFT procedure involves the use of a bioprosthetic device to augment the LIFT (Ligation of Intersphincteric Fistula Tract) procedure.
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Intervention code [1]
285007
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Not applicable
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Comparator / control treatment
The purpose of this study is to evaluate and compare outcomes of patients where repair of transphincteric anal
fistula was performed using LIFT and BioLIFT techniques.
This is a retrospective review of patient who had undergone the LIFT and BioLIFT procedure. Data will be collected from the hospital medical records. Followup details will be obtained from surgeon's private rooms.
The 'comparator' group would be patient who had the LIFT (Ligation of Intersphincteric Fistula Tract) procedure for treatment of transphincteric anal fistula, from 2011 to current, by a single surgeon.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The purpose of this study is to evaluate and compare short-term outcomes of patients where repair of transphincteric anal fistula was performed using LIFT and BioLIFT techniques.
Outcomes measures of complications, recurrence, physiology studies performed pre and post operative will be evaluated using data collected from the hospital medical records and surgeon's files.
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Assessment method [1]
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Timepoint [1]
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Patients who have undergone LIFT or BioLIFT procedure from 2011-current, by a single surgeon will be retrospectively reviewed.
Data collection will commence upon receipt of approval from the ethics committee. Once data collection is complete, the outcome measures will be assessed and evaluated.
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
Patients: Patients will be retrieved from a single surgeon logbook.
Inclusion criteria of patients analysed :
1. Patients with diagnosis of complex suprasphincteric anal fistula of cryptoglandular in origin
2. All patients, both male and female who are >18years of age with perianal sepsis
3. Crohn’s patients as a separate subset analysis
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria:
1.Patients < 18years of age
2.Defunctioning stomas
3.Patient with noncryptoglandular fistula, Tuberculosis and malignant fistulas
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Retrospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
10/06/2012
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Colorectal Research, Royal Prince Alfred Hospital (RPAH)
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Address [1]
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Colorectal Research Department Level 9 East Ambulatory Care, Royal Prince Alfred Hospital Missenden Road, Camperdown NSW 2050
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dr Peter Lee
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Address
Suite 415, RPAH Medical Centre, 100 Carillon Ave Newtown NSW 2042
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Min Hoe Chew
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Address [1]
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Surgical Outcomes Research Centre, Royal Prince Alfred
Hospital, Building 89, Level 9 East
Missenden Road Camperdown NSW 2050
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Country [1]
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Ethics Review Committee (RPAH Zone)
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Ethics committee address [1]
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Research Development Office Royal Prince Alfred Hospital Missenden Road Camperdown NSW 2050
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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22/05/2012
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Approval date [1]
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Ethics approval number [1]
287385
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LNR/12/RPAH/264 & X12-0163
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Summary
Brief summary
The surgical management of anal fistulas remains in an evolutionary phase. A new sphinctersaving technique known as the LIFT (ligation of intersphincteric tract) procedure has gained growing interest. Early results together with reports from other authors have been promising with 57-94% success and minimal complications. The use of a bioprosthetic device has been suggested to augment the LIFT procedure (BioLIFT). The purpose of this study is to evaluate and compare outcomes of patients where repair of transphincteric anal fistula was performed using LIFT and BioLIFT techniques. Patients who have undergone LIFT or BioLIFT procedure from 2011-current, by a single surgeon will be retrospectively reviewed. Case notes will be retrieved and data entry performed. Statistical analysis of outcomes will be assessed. Outcomes measures of complications, recurrence, physiology studies performed pre and post operative, will be evaluated.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Peter Lee
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Address
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Suite 415, RPAH Medical Centre, 100 Carillon Ave Newtown NSW 2042
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Country
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Australia
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Phone
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+61 2 9519 7576
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Fax
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+61 2 9519 1806
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Peter Lee
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Address
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Suite 415, RPAH Medical Centre, 100 Carillon Ave Newtown NSW 2042
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Country
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Australia
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Phone
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+61 2 9519 7576
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Fax
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+61 2 9519 1806
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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