interesting_case H-tip rectovaginal fistula. Management.

[Gunduz Aghayev]

Management of H-type rectovaginal fistula.

[Amin]

how to download the attachment

[Admin]

how to download the attachment

here you are prof,

[Gunduz Aghayev]

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.

[Admin]

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

[Gunduz Aghayev]

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

[Amin]

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.

[Gunduz Aghayev]

This operation performed without preventive colostomy.

[Amin]

Excellent work. Congratulations

[Farid Elallaghi]

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

[Gunduz Aghayev]

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