TOPICAL ISSUES OF PREVENTION AND TREATMENT OF NEOANUS AND NEORECTUM STENOSES IN CHILDREN WITH ANORECTAL MALFORMATIONS

Yesayan Mikhail Hovhannesovich, Barova Natusya Kaplanovna, Strukovsky Andriy Evgenyevich, Nadgeriev Valery Magomedovich, Kiselev Andrey N.

Treatment and rehabilitation of children with anorectal malformations is an urgent problem of pediatric surgery. The significance of this problem is due to the high frequency of occurrence of these malformations – 1:4000-5000 newborns, which has no tendency to decrease. The constantly increasing number of surgical interventions in the anorectal zone causes a steady increase in the number of children requiring rehabilitation measures in the postoperative period. One of the central places in the rehabilitation of this contingent of patients is occupied by the prevention and treatment of postoperative stenosis of the neoanus and the colon relegated to the perineum. We have experience in treating 139 children with anorectal malformations. The clinic has developed and implemented into clinical practice a set of measures aimed at the prevention and treatment of this pathological condition. Its clinical effectiveness was evaluated by comparing the effectiveness of rehabilitation measures in two groups of patients with identical gender indicators and anatomical forms of anorectal agenesis. The main group – 74 children – prevention of stenosis of neoanus and neorectum was carried out according to the methods and within the time worked out in the clinic. The control group – 65 patients – postoperative rehabilitation was carried out according to traditional methods. The introduction into clinical practice of the developed methods of prevention and treatment of stenosis of the neoanus and the reduced segment of the colon has reduced the duration of correction of this pathological condition by more than 2 times.

Keywords:children, anorectal malformations, rehabilitation, neoanus and neorectum stenosis, bougie