Characteristic of Late Postoperative Complications and Recurrences of Anorectal Malformations Developed after Various Types of Proctoplastics

Abstract

After primary anorectoplasty, postoperative complications remain high, from 10% to 60%. According to various authors, the reasons for the high percentage of unsatisfactory results are intraoperative iatrogenic errors. The aim of the study is to improve the results of treatment of recurrent anorectal malformations by improving surgical tactics and rehabilitation. 713 children with anorectal malformations were examined, including 130 (18.2%) - with relapses of the disease at various times after primary surgery. Of the re-operated patients, 47 (36.2%) were initially operated on in our clinic, 83 (63.8%) in other clinics. children were admitted after performing the most popular and most frequently used type of surgery in this category of patients - various types of perineal proctoplasty. The choice of the method of repeated surgical correction of the sphincter apparatus of the anus depended on the nature of the recurrence of the arm. We used low-trauma surgery for recurrent posterior-sagittal and anterior-sagittal reanorectoplasty.