Cross Sectional Study of Results of Postoperative Recto-vestibular Fistula Patients
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 11
Abstract
Introduction: Recto -vestibular fistula is the most common form of Anorectal malformation in females and is an intermediate type of this disease, which is treated surgically by posterior sagittal ano-rectoplasty and Anal transposition. The current study aim was to compare the outcome of two surgical techniques used for the treatment of Anorectal malformation with recto-vestibular fistula. Material and Methods: It was the cross sectional observational study of treatment results of Anorectal malformation with recto-vestibular fistula. One hundred and forty four female children of Anorectal malformation with recto-vestibular fistula are treated by two surgical techniques. Patients were divided into two groups based on the operative procedure they had received. PSARP Group (60 patients) and Anal transposition Group (84 patients). Forty two PSARP patients and Fifty six Anal transposition patients (total 98) attended our speciality clinic of anorectal malformations. The functional results, cosmetic appearance and complications after treatment were evaluated in patients who attended for follow up and case sheet record verification done for these patients. Results: Forty two PSARP patients and Fifty six Anal transposition (total 98) patients were evaluated. Kelly's score of continence system used to analyse the outcome. Anal transposition Group has 95% continence rates (51.7% good, 42.8%fair, 5.3% poor continence) where as PSARP group patients have 88% continence rates (38%good, 50% fair, 12% poor continence). Conclusion: The functional outcomes were good in both treatment groups. Anal transposition Group has slightly better continence than PSARP group patients, urinary incontinence is more in PSARP group. However, perineal scarring is more in Anal transposition.
Authors and Affiliations
K. Jayapal, Chanda Bhaskara Rao, G. Hasanthi, J. S. Kishore, R. Suman, Bhavana Chanda
Keywords
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