Recto-vestibular Disruption Defect Resulted from the Malpractice in the Treatment of the Acquired Recto-vestibular Fistula in Infants

Overview

Journal World J Gastroenterol

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2007 Apr 28

PMID 17461501

Authors

Ting-Chong Zhang

Wen-Bo Pang

Ya-Jun Chen

Jin-Zhe Zhang

Affiliations

Soon will be listed here.

Abstract

Aim: To explore the pathogenesis of the rectovestibular disruption (RVD) defect and to recommend a successful repair, and prevention of it.

Methods: Clinical records of 15 girls, age ranged from 3 to 15 (median, 7.5) years, with acquired rectovestibular fistula (RVF) mistreated before were retrospectively reviewed. All of them presented an abnormal appearance of perineum and were suffering from some degree of fecal incontinence, and those were graded III to IV by Li Zheng's Score. Repair of anal sphincters and reconstruction of perineum body and skin by anterior perineal rectoanoplasty were performed in all cases.

Results: Operation in all cases was successful. The perineum looked practically normal and fecal continence score rose up to VI by Li Zheng's Score.

Conclusion: The conventional treatment for anal fistula, lay-open or string-treatment, should be considered as malpractice of RVF, and certainly leads to the RVD defect, and the anterior perineal rectoanoplasty could cure it satisfactorily.

References

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