Management of H-type rectovaginal fistula.

 

Edited January 3, 20215 yr by Gunduz Aghayev

(Untitled)

 

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here you are prof,

 

İ operated on Pts with H-type rectovestibular fistula- perineal approach with fistula ligation and tissue interposition, rectal flap, transrectal repair with muscle interposition, even pull through with or without protective colostomy. In last 4 cases Operated on I performed anterior sagittal fistulectomy as described in A.Pena's book Surgical treatment of colorectal problems in children without colostomy. I think this is the best procedure of choice.

İ operated on Pts with H-type rectovestibular fistula- perineal approach with fistula ligation and tissue interposition, rectal flap, transrectal repair with muscle interposition, even pull through with or without protective colostomy. In last 4 cases Operated on I performed anterior sagittal fistulectomy as described in A.Pena's book Surgical treatment of colorectal problems in children without colostomy. I think this is the best procedure of choice.

Wonderful, operative photos are always appreciated prof

Surgical Treatment of colorectal problems in children. A.Pena, A.Bishoff. 2015.

Edited January 6, 20215 yr by Admin

one-stage anorectal pull though for intermediate and high anorectal anomalies are feasible and in good NICO sitting gives a better result than the 3 stage procedure. partial wound dehiscence is common but it will heal with primary intention. Dr. Esam Halaby has published his experience with one stage with a good outcome. I have not done a colostomy for neonatal anorectal anomalies for 30 years.

This operation performed without preventive colostomy.

Excellent work. Congratulations

What is your Protocol Preoperative and Postoperative in cases operated without Protective Colostomy?

preop mechanical bowel preparation, IV antibiotic 30-45 min before procedure, postop TPN for 6 days.