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ORIGINAL ARTICLE
Year : 2016  |  Volume : 1  |  Issue : 3  |  Page : 16-19

The H-type anorectal malformations in girls


Tashkent Pediatric Medical Institute, Republic of Uzbekistan, 100140, Tashkent, Uzbekistan

Correspondence Address:
F A Otamuradov
Tashkent Pediatric Medical Institute, Republic of Uzbekistan, 100140
Uzbekistan
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Source of Support: None, Conflict of Interest: None


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The anorectal malformations are presented by wide spectrum of nosological forms. Many aspects of the surgical treatment of the rectogenital fistulas in normally formed anus remain to be debatable because they are described insufficiency in the literature. Material and methods: During the period from 2004 to 2015 in the clinic there were treated 210 girls of the age from one day to 15 years with ARM, of them 17 (8,1%) girls were with H-type. The patients were examined and underwent the operative treatment by the developed technique. Results: In 4 (23.5%) patients localization of the malformation was related to the anovestibular type, in 8(47,1%) – to rectovestibular –intermediate form, in 5 (29,4%) –high form of which 2 had rectovaginal fistula. Invaginational extirpation by A.I.Lyonushkin was performed in 3 (17,6%) patients, fistula liquidation by anterior-sagittal approach – 5 (29,4%). In 8(47,1%) patients including repeated surgeries in the recurrences were carried out by the technique developed in the clinic. Conclusion: In intermediate forms and lower localizations of the fistulas there were indicated one-step correction, comparatively better results were obtained in liquidation of the fistula with pulling-through of the anterior wall of the rectum. In high (rectovaginal) fistulas this type of operation should be performed after application of the preventive double sigmostoma.


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