Navicular fossa rectal fistula surgery improved.doc

 PAGE \* MERGEFORMAT 6 Navicular fossa rectal fistula surgery improved [Abstract] To sum #8203;#8203;up the improved method of repair rectal fistula surgery scaphoid fossa experience in 9 cases using the modified method to repair rectal navicular fossa, and its point is to improve the anatomy of the fistula from the rectum to the outside at the time of fistula, the fistula from the outside pulls fistula, ligation, suture and break away from. but also to the scaphoid fossa rectal fistula caused by recurrence factors were analyzed. the results of 9 cases improved method scaphoid fossa rectal fistula repair were followed up for 3 to 6 months without recurrence. that the scaphoid fossa rectal improved method to reduce postoperative recurrence of fistula repair has a positive effect. [Keywords:] surgery improved recurrence of rectal fistula navicular fossa Navicular fossa rectal fistula is a common anorectal disorders in children, surgical treatment is required, commonly used surgical methods for the removal of the fistula, rectal mucosal flap coverage, this method is simple, less invasive, but easy to relapse, we do in this method appropriate improvements, 1 case of 9 patients without recurrence, are presented below. 1 Materials and Methods 1.1 General Information 1998 to 2005, Surgery, Shanghai Children’s Medical Center, 9 patients were treated, the youngest 1 year old, maximum age of 7, including 4 perineal infection after the discovery of navicular fossa rectal fistula. All the patients were outside the fistula opening in the vestibule of the vagina boat shaped nest, the fistula opening in the rectal wall, farthest away from the dentate line about 1.2cm, minimum 0.5cm, preoperative diagnosis of navicular fossa rectal fistula. pathologic report of squamous and intestinal fistula see gland proliferation of fibrous tissue and small blood vessels, with chronic inflammatory cell infiltration. 1.2 Treatment 3d be no residue of preoperative diet