A MODIFIED ANTERIOR SAGITTAL APPROACH IN A H-TYPE RECTOVESTIBULAR FISTULA


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Abstract

A rectovestibular / rectovaginal fistula with a normally formed anus, so-called H-type (H-type fistula), is rather rare anorectal malformation which causes a serious problem for surgical correction of the defect. A surgical correction in infancy is associated with technical difficulties because of specific anatomical relationships and perineum topography in this age group. Thus, an improved surgical access which allows to get good anatomical and functional results and a worthy quality of life in such patients in future is a relevant issue. The authors describe a clinical case of successful treatment of H-type rectovestibular fistula with improved perineal access in a 1-year old child.

About the authors

V. A. Novozhilov

Irkutsk State Medical University; Irkutsk Municipal Pediatric Clinical Hospital

Author for correspondence.
Email: noemail@neicon.ru
Russian Federation

N. M. Stepanova

Irkutsk State Medical University; Irkutsk Municipal Pediatric Clinical Hospital

Email: dm.stepanova@mail.ru
Russian Federation

E. M. Petrov

Irkutsk Municipal Pediatric Clinical Hospital

Email: noemail@neicon.ru
Russian Federation

References

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