SURGICAL APPROACH TO THE REOPERATION OF THE ANORECTAL AREA IN CHILDREN

Abstract

Aim. To improve results of postoperative complications of reoperation of the anorectal zone. Material and methods. From 2007 to 2019 the department of pediatric surgery № 1 accepted 62 patients for repeated reconstructive operations of the anorectal area. All patients underwent complex examination: clinical examination including rectal examination, laboratory diagnostics, ultrasound with doppler scanning of the abdominal cavity and pelvic organs, myography of sphincter apparatus of the rectum, x-ray examination, MRI and endoscopic examination. Results and discussion. Studying the results of follow-up observation and clinical data of 62 patients that require recurrent postoperative surgery, some errors, and flaws of diagnostic methodic and technical character were discovered. Conclusion. Analysis of the etiology, optimization of diagnostics, intra-operational correction approach and postoperative prevention measures improve the results of recurrent reconstructive surgery of anorectal area in children. Keywords: postoperative complications, recurrent reconstructive surgery, anorectal area, methodic and technic errors.