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Fibrin glue treatment is simple and repeatable; failure does not compromise further treatment options; and sphincter function is preserved. We aimed to compare the outcomes of patients with low and high anal fistulas randomly assigned to either fibrin glue or conventional treatment. METHODS: Patients with simple fistulas low fistulas and complex fistulas high, Crohn's, and low fistulas with compromised sphincters were randomly assigned to either fibrin glue or conventional treatment fistulotomy or loose seton insertion with or without subsequent advancement flap.

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