Результати хірургічного лікування аноректальних вад розвитку у дітей

S. V. Veselyy; R. P. Klimanskyi

doi:10.26779/2522-1396.2018.11.53

S. V. Veselyy Donetsk National Medical University, Lyman https://orcid.org/0000-0001-7988-8214
R. P. Klimanskyi Donetsk National Medical University, Lyman http://orcid.org/0000-0002-9118-7813

DOI: https://doi.org/10.26779/2522-1396.2018.11.53

Keywords: anorectal failures of development; rectum; atresia; proctoplasty; children

Abstract

Objective. To estimate a far remote results of surgical treatment of anorectal failures of development (ARFD) in children, taking into account the anamnesis data.

Materials and methods. Results of examination and surgical treatment of 32 patients with ARFD during last 6 yrs were analyzed.

Results. Operative interventions in children were conducted, depending on the ARFD form presented. Postoperative complications were observed in 9 (28.1%) of 32 patients, operated for the anal orifice and rectal atresia. In total 2 (6.3%) patients died, who were premature babies with combined failures of development.

Conclusion. In children with the inborn ARFD and complicated preoperative period (prematurity, combined failures of development, intrauterine infection etc.) the disease clinical course was characterized by large quantity of various morbidity, comparing with children without complicated anamnesis. General state in children of this group was significantly severe, they needed more durable and intensive preoperative preparation.

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