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At least 307 records · Page 17Linked to original sources
PubMed1987

Challenges in imperforate anus: II--Large rectovaginal defects: colonic vaginoanoplasty.

There are several infants and young children with a large recto vaginal fistula or common recto vaginal opening. This could arise either as a result of previous surgery, or entirely congenitally. Surgical correction in these difficult patients has been satisfactorily achieved in 11 patients using a modification of the Soave technique in which the upper rectum and colon are brought through a rectal sleeve and sutured to the perineum. The pliability of the vagina, and control of bowel movements and the cosmetic appearance following this procedure are good. The procedure is not very demanding technically.

Adolescent↗
PubMed1985

[Assessment and achievement of postoperative continence in imperforate anus].

Functional results after surgical correction of anorectal malformations were assessed on a clinical basis following Kelly score, by manometric and radiologic studies. Sixty-five patients, older than 5 years, were personally interviewed and 51 of the 65 had manometric and radiologic studies to evaluate postoperative continence. Continent patients with high type lesions as well as those with low type lesions characteristically had a marked anorectal pressure difference and an acute anorectal angulation in the defecogram. On the other hand, in the patients with fair or poor results, neither a marked anorectal pressure difference nor anorectal angulation was found. These results indicate that achievement of continence in patients with a high type lesion treated by staged abdominoperineal rectoplasty depends upon bringing the terminal bowel down exactly within the sling of the puborectalis muscle.

Anus, Imperforate↗