RESUMO
Objective: The objective of the study was to assess the short term outcome of single stage anterior sagittal anorectoplasty for the management of rectovestibular fistula in female children
Study Design: Descriptive, Case Series study
Place and Duration of Study: This study was conducted in the Department of Neonatal and Pediatric Surgery, Bahawal Victoria Hospital, Bahawalpur from November 2010 to November 2013
Materials and Methods: Total 151 female children from 1 month to 13 years with the diagnosis of recto vestibular fistula undergoing primary ASARP were selected. No covering colostomy was done in any case. All the patients who were previously operated for RVF, or colostomy done for RVF, and those with septicemia were excluded. All the cases were managed in the ward and short term outcome was assessed in terms of post-operative wound infection [noted at 72 hours after surgery], vaginal tear[assessed during surgery], hospital stay and operative time. Results: There were a total of 151 female patients with mean age of 17.53 +/- 27.12 months. Mean operative time in our study was 85.76 +/- 16.49 minutes and mean hospital stay was 5.31 +/- 2.33 days. All the patients were examined regularly till discharge from ward and looked for any wound infection and vaginal tear. Wound infection was seen in 24 [15.89%] and vaginal tear in 21 [13.91%] patients. Wound infection was managed by daily wound wash with normal saline and povidone iodine solution. Vaginal tear managed during surgery by repair with vicryl 5/0
Conclusions: This study concluded that the short term outcome in terms of mean operative time, hospital stay, wound infection and vaginal tear after single stage anterior sagittal anorectoplasty is satisfactory in recto vestibular fistula treatment in female children