Anterior perineal fistulectomy in repairing H-type rectovestibular fistula with a normal anus in female children

作者：Wang Zeng meng; Chen Ya jun^*; Zhang Ting chong; Peng Chun hui; Pang Wen bo; Zhang Dan; Shen Qiu long; Wu Dong yang

来源：Journal of Pediatric Surgery, 2015, 50(8): 1425-1428.

DOI：10.1016/j.jpedsurg.2015.04.003

• Rectovestibular fistula
• Perineal surgery
• H-type
• Normal anus

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 6 months to 13 years 10 months, with an average age 5 years 2 months. The clinical feature of this disease was a definite history of vestibular infection at about 30 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 6 months to 7 years (median, 5.2 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 treatmentwithin 3 weeks, 2 required another anterior perineal fistulectomy 7 months later and were cured, and the last one had another anterior perineal fistulectomy 1 year 10 months later but relapsed again, which healed after hip bathing treatment within 3 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.

• 出版日期2015-8
• 单位首都医科大学