Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
6216959 | Journal of Pediatric Surgery | 2015 | 4 Pages |
The purpose of this study was to review a 7-year operative experience of anterior perineal fistulectomy in repairing H-type rectovestibular fistula with a normal anus in female children. From January 2007 to December 2013, 105 female children with H-type rectovestibular fistula and a normal anus underwent anterior perineal fistulectomy in the Department of General Surgery, Beijing Children's Hospital, Capital Medical University. Clinical data were retrospectively analyzed. Patients' age ranged from 6Â months to 13Â years 10Â months, with an average age 5Â years 2Â months. The clinical feature of this disease was a definite history of vestibular infection at about 30Â days after birth and leakage of gas or loose stool through vestibular fistular orifice after the infection was controlled. All patients had a normal anus. Follow-up through telephone or outpatient visits from 6Â months to 7Â years (median, 5.2Â years), showed that all the patients were continent and had regular bowel movements. Among the 105 patients, 97 (92.4%) gained primary healing with a satisfactory appearance; 8 (7.6%) patients relapsed, among which 5 healed after hip bathing treatment within 3Â weeks, 2 required another anterior perineal fistulectomy 7Â months later and were cured, and the last one had another anterior perineal fistulectomy 1Â year 10Â months later but relapsed again, which healed after hip bathing treatment within 3Â weeks after the second surgery. Anterior perineal fistulectomy is a simple, safe and reliable surgical method to treat H-type rectovestibular fistula with a normal anus.