Ano-vestibular and recto-vestibular fistulae with normal anus : is the surgical approach the same ?
Other Title(s)
الشرج الطبيعي المترافق مع ناسور مستقيمي دهليزي أو ناسور شرجي دهليزي : هل تعالج بنفس الإجراء الجراحي ؟
Author
Source
Journal of the Arab Board of Health Specializations
Issue
Vol. 18, Issue 3 (30 Sep. 2017), pp.48-53, 6 p.
Publisher
The Arab Board of Health Specializations
Publication Date
2017-09-30
Country of Publication
Syria
No. of Pages
6
Main Subjects
Topics
Abstract EN
We report a series of 3 female pediatric patients (6-13 months) with very rare variants of anorectal malformations namely ano-vestibular and rectovestibular fistulae, with normal anus trying to answer whether they should be handled differently in terms of surgical repair.
None of the patients was diagnosed early after birth.
The patients presented with fecal leakage from the vestibule, vulvar infection or abscess.
All patients had a barium study to delineate the fistula.
The vestibular fistula opening was located in the midline or in close proximity to it, and the internal opining was located at the anterior wall of rectum.
According to internal orifice site, two of the Three patient were diagnosed as ano-vestibular fistula, while the third was diagnosed to have recto-vestibular fistula.
Two cases with ano-vestibular fistula were managed by simple resection of the tract, whereas the remaining case with recto-vestibular fistula needed anterior sagittal anorectoplasty (ASARP).
The results were satisfactory in all cases without reported recurrence.
We believe that the simple resection is the procedure of choice to repair the ano-vestibular fistula.
On other hand, ASARP and other procedures that requires extensive perineal dissection might be necessary to repair the rectovestibular fistula.
American Psychological Association (APA)
Batal, Muhammad Muhannad. 2017. Ano-vestibular and recto-vestibular fistulae with normal anus : is the surgical approach the same ?. Journal of the Arab Board of Health Specializations،Vol. 18, no. 3, pp.48-53.
https://search.emarefa.net/detail/BIM-760747
Modern Language Association (MLA)
Batal, Muhammad Muhannad. Ano-vestibular and recto-vestibular fistulae with normal anus : is the surgical approach the same ?. Journal of the Arab Board of Health Specializations Vol. 18, no. 3 (Sep. 2017), pp.48-53.
https://search.emarefa.net/detail/BIM-760747
American Medical Association (AMA)
Batal, Muhammad Muhannad. Ano-vestibular and recto-vestibular fistulae with normal anus : is the surgical approach the same ?. Journal of the Arab Board of Health Specializations. 2017. Vol. 18, no. 3, pp.48-53.
https://search.emarefa.net/detail/BIM-760747
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 52-53
Record ID
BIM-760747