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Narbaev T.T.

Tashkent Pediatric Medical Institute

Aliev M.M.

Tashkent Pediatric Medical Institute

Yuldashev A.Yu.

Tashkent State Stomatology Institute

Turaeva Zh.T.

Tashkent Pediatric Medical Institute

Morphological criteria for surgical treatment of anorectal malformations in children

Authors:

Narbaev T.T., Aliev M.M., Yuldashev A.Yu., Turaeva Zh.T.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(2): 48‑52

DOI: 10.17116/hirurgia202102148

Read: 2771 times

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Table of contents

MORPHOLOGICAL CRITERIA FOR SURGICAL TREATMENT OF ANORECTAL MALFORMATIONS IN CHILDREN
MORPHOLOGICAL CRITERIA FOR SURGICAL TREATMENT OF ANORECTAL MALFORMATIONS IN CHILDREN

To cite this article:

Narbaev TT, Aliev MM, Yuldashev AYu, Turaeva ZhT. Morphological criteria for surgical treatment of anorectal malformations in children. Pirogov Russian Journal of Surgery. 2021;(2):48‑52. (In Russ.)
https://doi.org/10.17116/hirurgia202102148

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To improve treatment outcomes in patients with anorectal malformations via research of morphological criteria and differentiated approach to surgical correction.

MATERIAL AND METHODS

There were 37 children with various types of anorectal malformations for the period 2000—2019. We analyzed morphological features of atretic rectum wall, fistula, anastomosis with adjacent organs and skin of the perineum.

RESULTS

Morphological research of anorectal malformations made it possible to differentiate treatment strategy and explain the causes of unsatisfactory results after perineal and abdominal-perineal proctoplasty. Incidence and severity of complications, as well as early disability were reduced that significantly improved postoperative quality of life.

CONCLUSION

According to the morphological criteria, deeper mobilization of atretic rectum within at least 2.5—3 cm of the rectal «cone» with intact muscular wall is necessary. This approach was valuable to ensure adequate closure function of the rectum, prevent anal incontinence and restore normal appearance of the perineum. These achievements contributed to decrease in the incidence of admissions, redo surgeries and improvement of social adaptation in children.

Keywords:

anorectal malformations
diagnosis
histomorphology
treatment strategy

Authors:

Narbaev T.T.

Tashkent Pediatric Medical Institute

Aliev M.M.

Tashkent Pediatric Medical Institute

Yuldashev A.Yu.

Tashkent State Stomatology Institute

Turaeva Zh.T.

Tashkent Pediatric Medical Institute

Received:

07.08.2020

Accepted:

10.09.2020

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References:

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  2. Aliev MM, Razumovsky AYu, Narbaev TT. Modified proctoperineoplasty in anorectal malformation in children. Rossijskij vestnik detskoj hirurgii, anesteziologii i reanimatologii. 2019;9(3):33-42. (In Russ.). https://doi.org/10.30946/2219-4061-2019-9-3-33-42
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  14. Aliev MM, Narbaev TT, Yuldashev AYu, Grishaev VV. Morphological characteristics of anorectal malformations in children. Problemy biologii i mediciny, Samarkand. 2010;2(61):19-22. (In Russ.). https://www.sammi.uz/frontend/web/upload/files/%d0%9f%d0%91%d0%b8%d0%9c%20(61)%20%e2%84%96%202%202010.pdf
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