SURGICAL CORRECTION OF FECAL INCONTINENCE IN GENITAL FISTULAS IN GIRLS

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Abstract

Genital fistulas in girls with a completely developed anus (H-type fistulas, tubular duplication, terminal duplication of the alimentary tract) is one of the most complicated problems today due to the high frequency of complications. Since 1994 232 children with fecal incontinence of different etiology have been observed in Samarkand department of pediatric surgery. Out of them 28 girls with a completely developed anus and fecal incontinence due to genital fistulas were operated. All the children underwent a complex examination including X-ray examination (irrigography, cine defecography, lateral proctogrofistulography, etc.), abdominal and retroperitoneal ultrasound examination, functional methods of sphincter examination (anorectal manometry, rectoanal inhibitory reflex examination), fibrocolonoscopy and rheography, general blood, urine and feces analysis, neurohistochemical and histomorphological methods of examination. Analysis of the obtained data showed that anterior anorectal plasty with fistular extirpation and pull-through of the anterior wall of the rectum is, in our opinion, the most pathogenetically substantiated intervention that can obtain the best clinical results.

About the authors

A. M. Shamsiev

Samarkand State Medical University

Author for correspondence.
Email: a-shamsiev@mail.ru
Russian Federation

M. S. Saidov

Samarkand State Medical University

Email: saidovmurodillo@gmail.com
Russian Federation

R. R. Aipov

Городская детская больница Республики Казахстан

Email: rasuibek@hotmail.ru
Russian Federation

D. O. Atakulov

Samarkand State Medical University

Email: gospitalbolaxir.km@mail.ru
Russian Federation

Sh. A. Yusupov

Samarkand State Medical University

Email: 66@mail.ru
Russian Federation

References

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  2. Ленюшкин А.И. Хирургическая колопроктология детского возраста. - M.: Медицина, 1999. - 365с.
  3. Chatteijee S.K., Talukder B.C. Double termination of the alimentary tract - a second look // J. Pediatr. Surg. 2006. Vol. 15. Р. 623-627.
  4. Kulshrestha S., Kulshreshtha M. et al. Management of congenital and aquired H-type anorectal fistulae in girls by anterior sagittal anorectovaginoplasty // J. Pediatr. Surg. 2004. Vol. 33. Р. 1224-1228.
  5. Rintala R.J., Mildh L. H-type Anorectal Malformations: Incidence and Clinical Characteristics // J. Pediatr. Surg. 2009. Vol. 31. Р. 559-562.

Copyright (c) 2014 Shamsiev A.M., Saidov M.S., Aipov R.R., Atakulov D.O., Yusupov S.A.

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