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Medical news
of the North Caucasus
Scientific journal
Mass media registration certificate dated December 7, 2006.
Series ПИ #ФС 77-26521.
Federal service for surveillance over non-violation of the legislation in the sphere of mass communications and protection of cultural heritage.
ISSN 2073-8137
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Surgical correction of rectal atresia with recto-vestibular fistula

[Surgery]
Mikhail Chepurnoy; Oleg Leonidovich Matveev; Anaida Dadayan; Roman Astakhov; Vladimir Valerievich Kolesnikov;

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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References:
1. Lyonyushkin A. I. Pediatric Coloproctology. Guide. Moscow; 1990. (In Russ.).
2. Puri P., Hollwarth M.E. Atlas of Pediatric Operative Surgery. Moscow; 2009. (In Russ.).
3. Peña A. Anorectal malformations. Semin. Pediatr. Surg. 1995;4:35-47. https://doi.org/10.4236/oalib.1101393
4. Peña A. Anorectal anomalies. In Puri P. (ed) Newborn Surgery. Arnold, London. 2003:535-552.
5. Obedin A. N., Alecsandrov A. E., Kirgizov I. V., Minaev S. V., Bortsov D. A. A Newborns with a Gastro-Intestinal Tract Malformations and High Risk of Purulent Complications Development Intensive Care. Detskaya khirurgiya. – Rus. J. Pediatr. Surg. 2013;1:19-21. (In Russ.).

Keywords: anorectal malformations, girls, surgical treatment


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