Abstract
Purpose
The aim of this study was to investigate risk factors for recurrence in the perineal canal (PC).
Methods
Patients with PC who underwent operations were enrolled in this study and were divided into recurrence and non-recurrence groups. Preoperative infection, the age at the operation, the presence of colostomy and the treatment procedure for fistula were retrospectively investigated. Regarding the treatment procedure for fistula, either closure of the rectal wall with stitches or ligation of fistula in the rectum was performed. These factors were compared between the two groups.
Results
Six of 17 patients with PC who underwent surgical treatment had recurrence. There were no significant differences in the incidence of preoperative infection, age at operation or presence of colostomy (p = 0.60, 0.38, 1.00, respectively). In the recurrence group, all patients were treated by closure of the rectal wall. In the non-recurrence group, five were treated by the closure of the rectal wall with stitches and six by ligation of the fistula. There was a significant association between recurrence and the treatment procedure for fistula (p = 0.04).
Conclusion
Closure of the rectal wall with stitches is a risk factor for the recurrence of PC.
Similar content being viewed by others
References
Sharma S, Gupta DK (2017) Diversities of H-type anorectal malformation: a systematic review on a rare variant of the Krickenbeck classification. Pediatr Surg Int 33:3–13
Wu YM, Wang CD, Fan LV et al (2015) The surgical management of H-type rectovestibular fistula: a novel modification. Eur J Pediatr Surg 2016(26):336–339
Lawal TA, Chatoorgoon K, Bischoff A et al (2011) Management of H-type rectovestibular and rectovaginal fistulas. J Pediatr Surg 46:1226–1230
Tsugawa C, Nishijima E, Muraji T et al (1999) Surgical repair of rectovestibular fistula with normal anus. J Prdiatr Surg 34(11):1703–1705
Tsuchida Y, Saito S, Honna T et al (1984) Double termination of the alimentary tract in females: a report of 12 cases and a literature review. J Pediatr Surg 19(3):292–296
Rintala RJ, Mildh L, Lindahl H (1996) H-type anorectal malformations: incidence and clinical characteristics. J Pediatr Surg 31(4):559–562
Banu T, Hoque M, Laila K et al (2009) Management of male H-type anorectal malformations. Pediatr Surg Int 25:857–861
Chatterjee KS, Talukder BC (1969) Double termination of the alimentary tract in female infants. J Pediatr Surg 4(2):237–243
Yazlcl M, Etensel B, Gursoy H et al (2003) Congenital H-type anovestibular fistula. World J Gastroenterol 9(4):881–882
Kellerher DC, Henderson PW, Corna A et al (2012) The surgical management of H-type rectovestibular fistula: a case report and brief review of the literature. Pediatr Surg Int 28:653–656
Acknowledgements
This research received no specific grants from any funding agency in the public, commercial, or not-for-profit sectors.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no conflicts of interest in association with the present study.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Kajihara, K., Fukuzawa, H., Fukumoto, K. et al. Risk factors for the recurrence of perineal canal. Pediatr Surg Int 35, 1137–1141 (2019). https://doi.org/10.1007/s00383-019-04536-8
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00383-019-04536-8