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A two groups of patients with a rectovestibular fistulous rectal atresia, operated using anterior-perineal approach without a preliminary colostomy (36) and operated using a posterior-sagittal approach with a preventive colostomy (113) were subjected to a comparative analysis. The analysis revealed all types of postoperative complications (trauma of vagina, rectal postoperative retraction, anal scar stenosis, postoperative wound suppuration) mainly in the patients of the first group. In this regard, patients with rectal atresia with rectovestibular fistula must be operated on from Peña posterior sagittal access with mandatory prior colostomy.
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Keywords: anorectal malformations, girls, surgical treatment