27 -10 (60) 2023 — D.B. Rakhmonov, A.J. Khamraev — THE RESULTS OF SURGICAL CORRECTION OF POSTOPERATIVE COMPLICATIONS OF ANORECTAL MALFORMATION IN CHILDREN

THE RESULTS OF SURGICAL CORRECTION OF POSTOPERATIVE COMPLICATIONS OF ANORECTAL MALFORMATION IN CHILDREN

D.B. Rakhmonov Tashkent Pediatric Medical Institute,  Samarkand State Medical University Uzbekistan

A.J. Khamraev Tashkent Pediatric Medical Institute,  Samarkand State Medical University Uzbekistan

U.A. Khamroev Tashkent Pediatric Medical Institute,  Samarkand State Medical University Uzbekistan

Resume

To improve the results of surgical correction of postoperative complications in children’s anorectal zone. 68 patients with IB in the anorectal zone during primary and repeated correction of anorectal malformations (ARM), who underwent 147 reconstructive operations, were examined. The diagnostic algorithm consisted of traditional complex methods of clinical, radiological, laboratory examination, including ultrasound, MRI and endoscopic methods of examination. The analysis of long-term results showed that unreliable primary diagnostics, lack of preoperative preparation, inadequate indications for the choice of surgery method led to the development of software for primary and repeated correction of ARM, which required a large number of repeated operations to treat. At the same time, the causes of the complication were studied, errors were analyzed, indications, terms, accesses, volume and efficiency of the primary operation were optimized, as well as failures leading to the necessity of repeated operations in children. Optimization of tactics, methods of surgical and rehabilitation treatment led to improvement of software results up to 85,6%.

Keywords: anorectoplasty, postoperative complications, anorectal malformations, correction

First page

164

Last page

171

For citation: D.B. Rakhmonov, A.J. Khamraev, U.A. Khamroev – THE RESULTS OF SURGICAL CORRECTION OF POSTOPERATIVE COMPLICATIONS OF ANORECTAL MALFORMATION IN CHILDREN //New Day in Medicine 2023 10(60): 164-171 https://newdaymedicine.com/index.php/2023/10/06/l-415/

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