title: Recto-vestibular disruption defect resulted from the malpractice in the treatment of the acquired recto-vestibular fistula in infants.
abstract: OBJECTIVE
  To explore the pathogenesis of the rectovestibular disruption (RVD) defect and to recommend a successful repair, and prevention of it.
  
  
  METHODS
  Clinical records of 15 girls, age ranged from 3 to 15 (median, 7.5) years, with acquired rectovestibular fistula (RVF) mistreated before were retrospectively reviewed. All of them presented an abnormal appearance of perineum and were suffering from some degree of fecal incontinence, and those were graded III to IV by Li Zheng's Score. Repair of anal sphincters and reconstruction of perineum body and skin by anterior perineal rectoanoplasty were performed in all cases.
  
  
  RESULTS
  Operation in all cases was successful. The perineum looked practically normal and fecal continence score rose up to VI by Li Zheng's Score.
  
  
  CONCLUSIONS
  The conventional treatment for anal fistula, lay-open or string-treatment, should be considered as malpractice of RVF, and certainly leads to the RVD defect, and the anterior perineal rectoanoplasty could cure it satisfactorily.
authors.affiliation: Department of Surgery, Beijing Children's Hospital affiliated to Capital Medical University, Beijing 100045, China.
authors.forename: Ting-Chong
authors.initials: TC
authors.lastname: Zhang
authors.forename: Wen-Bo
authors.initials: WB
authors.lastname: Pang
authors.forename: Ya-Jun
authors.initials: YJ
authors.lastname: Chen
authors.forename: Jin-Zhe
authors.initials: JZ
authors.lastname: Zhang
mesh_terms: D000293:Adolescent; D001003:Anal Canal / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D002681:China; D005242:Fecal Incontinence / Q000517:prevention & control / Q000601:surgery; D005260:Female; D005402:Fistula / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008318:Malpractice; D010502:Perineum / Q000473:pathology / Q000601:surgery*; D012003:Rectal Fistula / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies