METHOD FOR SURGICAL MANAGEMENT OF NEONATAL LOWER ANORECTAL MALFORMATIONS

摘要

FIELD: medicine.;SUBSTANCE: lower anorectal malformation is detected. A skin anal membrane is incised for the first two days of living. An intersphincter canal is formed to an inperforated intestinal end. The intestine is mobilised and pulled through unstrained. The intestine is exposed and its content is evacuated. An anoplasty is performed by applying circular single interrupted sutures. A prick-in into the intestinal mucosa at approximately 2-3 mm from the edge, a prick-out between the mucosal and submucosal layers, a prick-in into the derma and a prick-out into the skin at 2-3 mm from the edge are performed. The knots are tightened to combine the mucosal edges and skin herewith invaginating the submucosal, muscular, serous intestinal layers into the suture.;EFFECT: method for correction of neonatal lower anorectal malfunctions provides adequate continence and defecation ensured by preserving the sphincter apparatus of the rectus and rectal nerve plexus.;4 cl, 8 dwg, 1 ex