title: Modified transanal repair of congenital H-type rectovestibular fistula: a technique to avoid recurrence.
abstract: Congenital H-type rectovestibular fistulas are rare in the spectrum of anorectal malformations. Repair is associated with recurrence rates of up to 30%, using perineal repair, vestibuloanal pull-through or anterior anorectoplasty. The rarity of the malformation has limited experience with the surgical approach; hence, the rate of wound breakdown. We describe the use of a modification of the transanal approach for the repair in a 7-month-old female patient.
authors.affiliation: Department of Surgery, Division of Paediatric Surgery, University College Hospital and University of Ibadan, Ibadan, Nigeria.
authors.forename: Taiwo L
authors.initials: TL
authors.lastname: Lawal
authors.forename: Aiwanlehi
authors.initials: A
authors.lastname: Eighemhenrio
authors.forename: Felix O
authors.initials: FO
authors.lastname: Kumolalo
mesh_terms: D001003:Anal Canal; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D012006:Rectovaginal Fistula / Q000151:congenital / Q000601:surgery*; D055502:Secondary Prevention