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Ligation of intersphincteric fistulous tract vs endorectal advancement flap for high-type fistula in ano: a randomized controlled trial.

Kumar P, Sarthak S, Singh P, Mishra TS, Sasmal PK.

J Am Coll Surg 2023; 236: 27-35.

This study included 84 patients. The healing rate after six moths was better with the tract ligation method: 76.2 versus 54.7 per cent, P=0.039. All patients were continent at two years.

Comment: Promising, but bigger trials needed.

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