Choice of tactics surgical tretment of congenital anorectal malformation with rectovestibular fistula, in girls

Anorectal malformations in girls include a wide range of abnormalities, from the non-perforated anal membrane to cloaca. The most common is rectovestibular fistula. Purpose - improve results surgical treatment congenital anorectal with fistula using differentiated approach choice tactics. Materials and methods. A comprehensive examination children was performed. Associated diagnosed this type anomaly have been diagnosed. According literature, comparative analysis different methods pathology conducted, primary anterior sagittal posterior anorectoplasty, as well two-stage or three-stage correction. own at 35 carried out. first stage formation colostomy. second differentiated, anorectoplasty. Results. third closure In patients who underwent were good 6 (60%) 4 (40%) satisfactory, anorectoplasty 14 (60.9%) good, 9 (39.1%) satisfactory. There no unsatisfactory results. Conclusions. With adequate colostomy, postoperative period are not significant. tactics for should be determined by surgeon, based on general condition child, presence associated perfection mastery method research out accordance principles Helsinki declaration. study protocol approved Local ethics committee participating institution. informed consent patient obtained conducting studies. No conflict interests declared authors.