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interesting case H-tip rectovaginal fistula. Management.

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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.
 
Gunduz Aghayev said:
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.
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Wonderful, operative photos are always appreciated prof
 
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.
 
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