TY - JOUR
A1 - Loulah, Magdy
A1 - Sultan, Tamer
A1 - Zeina, Wael
T1 - Primary versus multistage repair of congenital rectovestibular fistula
Y1 - 2015/10/1
JF - Menoufia Medical Journal
JO - Menoufia Med J
SP - 813
EP - 817
VL - 28
IS - 4
UR - http://www.mmj.eg.net/article.asp?issn=1110-2098;year=2015;volume=28;issue=4;spage=813;epage=817;aulast=Loulah
DO - 10.4103/1110-2098.173597
N2 - Objective
The aim of this study was to evaluate the feasibility, safety, and outcome of one-stage posterior sagittal anorectoplasty in cases of rectovestibular fistula.
Background
Rectovestibular fistula is the most common type of anorectal malformation in the female population. The standard treatment for rectovestibular fistula is the staged approach. In recent times, posterior sagittal anorectoplasty has revolutionized the management of anorectal malformation (ARMs).
Materials and methods
This study was conducted on 24 female patients with rectovestibular fistula who were divided into two groups:
Group 1: This group comprised patients who underwent primary repair without colostomy (14 cases) prospectively.
Group 2: This group comprised patients who underwent multistage repair (10 cases) retrospectively (the last 10 cases were operated upon in our hospital).
Results
A total of 24 patients were included in our study. All patients were more than 1 month old. Intraoperative complications included opening the posterior wall of the vagina (n = 2). Postoperative complications included the following: anal excoriations in seven patients in group 1 only; superficial wound inflammation in four patients in group 1 but only in one patient in group 2; partial dehiscence of the perineal skin in three patients in group 1 but only in one patient in group 2; anal stenosis in one patient in each group; and mucosal prolapse in one patient in group 1 only.
Conclusion
Primary repair of rectovestibular fistula is technically feasible and safe. It avoids the risk of complications related to colostomy and the risks of multiple anesthesia, and reduces the economic and psychological burden on the family.
ER -