METHOD OF OPERATION FOR ELIMINATING RECURRENT FORMS OF RECTOURETHRAL FISTULUS IN CHILDREN Russian patent published in 2023 - IPC A61B17/00 

FIELD: medicine; pediatric surgery.

SUBSTANCE: from the transrectal approach, with the child in the prone position, a circular full-thickness dissection of the rectal wall is performed, 1 cm away from the dentate line; by blunt dissection, the rectum is mobilized in the layer along the wall. In the area of the anterior wall, a rectourethral fistula is visualized, which is isolated to the urethral wall, bandaged and cut off. A circular cut off of the rectum is performed 1 cm above the fistula at the level of healthy tissue. The intestine is mobilized proximally to achieve a length adequate to create a tension-free coloanal anastomosis, retracted and fixed at the level of the anal canal with interrupted sutures.

EFFECT: method allows the operation to be performed without dissecting the sphincter-levator structures, which reduces the trauma and duration of the operation and minimizes the risk of possible sphincter disorders.

1 cl, 6 dwg, 1 ex