Modified transanal repair of congenital H-type rectovestibular fistula: A technique to avoid recurrence

Congenital H-type rectovestibular fistulas are rare in the spectrum of anorectal malformations. Repair is associated with recurrence rates of up to 30%, using perineal repair, vestibuloanal pull-through or anterior anorectoplasty. The rarity of the malformation has limited experience with the surgic...

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Bibliographic Details
Main Authors: Taiwo A Lawal, Aiwanlehi Eighemhenrio, Felix O Kumolalo
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:African Journal of Paediatric Surgery
Subjects:
Online Access:http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2013;volume=10;issue=1;spage=38;epage=40;aulast=Lawal
Description
Summary:Congenital H-type rectovestibular fistulas are rare in the spectrum of anorectal malformations. Repair is associated with recurrence rates of up to 30%, using perineal repair, vestibuloanal pull-through or anterior anorectoplasty. The rarity of the malformation has limited experience with the surgical approach; hence, the rate of wound breakdown. We describe the use of a modification of the transanal approach for the repair in a 7-month-old female patient.
ISSN:0189-6725
0974-5998