Some Issues on Surgical Correction and Diagnostics of Congenital Malformations of Anus and Rectum in Children

Avtandil Kutubidze, Tamaz Gachechiladze

There were 54 patients under study, which have been operated on (protoplast) and suffered from insufficiency of anal aperture, due to congenital malformations of anus and rectum. On the basis of analysis of our own material we came to a conclusion that complications - chronic construction and fecal incontinence have been caused by tactical and technical mistakes of the surgical correction of congenital malformation of anus and rectum. The tactical mistakes (17) were caused by erroneous definition of the height of rectal atresia and period of operation and by incorrect assessment of the congenital malformation. The technical mistakes (37) have been as follows: the large intestine was taken out on the perineum out the sphincters; intra-operative injury of muscles of external sphincters and pelvis bottom; the atresial intestine was taken down out the m. puborectalis; the atresial intestine was not sufficiently separated from the surrounding tissues.

Keywords:   anus, rectal region, malformations, operations, technical mistakes