title: Anterior perineal fistulectomy in repairing H-type rectovestibular fistula with a normal anus in female children.
abstract: The purpose of this study was to review a 7-year operative experience of anterior perineal fistulectomy in repairing H-type rectovestibular fistula with a normal anus in female children. From January 2007 to December 2013, 105 female children with H-type rectovestibular fistula and a normal anus underwent anterior perineal fistulectomy in the Department of General Surgery, Beijing Children's Hospital, Capital Medical University. Clinical data were retrospectively analyzed. Patients' age ranged from 6 months to 13 years 10 months, with an average age 5 years 2 months. The clinical feature of this disease was a definite history of vestibular infection at about 30 days after birth and leakage of gas or loose stool through vestibular fistular orifice after the infection was controlled. All patients had a normal anus. Follow-up through telephone or outpatient visits from 6 months to 7 years (median, 5.2 years), showed that all the patients were continent and had regular bowel movements. Among the 105 patients, 97 (92.4%) gained primary healing with a satisfactory appearance; 8 (7.6%) patients relapsed, among which 5 healed after hip bathing treatment within 3 weeks, 2 required another anterior perineal fistulectomy 7 months later and were cured, and the last one had another anterior perineal fistulectomy 1 year 10 months later but relapsed again, which healed after hip bathing treatment within 3weeks after the second surgery. Anterior perineal fistulectomy is a simple, safe and reliable surgical method to treat H-type rectovestibular fistula with a normal anus.
authors.affiliation: General Surgery Department of Beijing Children's Hospital, Capital Medical University, China.
authors.forename: Zeng-meng
authors.initials: ZM
authors.lastname: Wang
authors.affiliation: General Surgery Department of Beijing Children's Hospital, Capital Medical University, China. Electronic address: shenqlyishi@163.com.
authors.forename: Ya-jun
authors.initials: YJ
authors.lastname: Chen
authors.affiliation: General Surgery Department of Beijing Children's Hospital, Capital Medical University, China.
authors.forename: Ting-chong
authors.initials: TC
authors.lastname: Zhang
authors.affiliation: General Surgery Department of Beijing Children's Hospital, Capital Medical University, China.
authors.forename: Chun-hui
authors.initials: CH
authors.lastname: Peng
authors.affiliation: General Surgery Department of Beijing Children's Hospital, Capital Medical University, China.
authors.forename: Wen-bo
authors.initials: WB
authors.lastname: Pang
authors.affiliation: General Surgery Department of Beijing Children's Hospital, Capital Medical University, China.
authors.forename: Dan
authors.initials: D
authors.lastname: Zhang
authors.affiliation: General Surgery Department of Beijing Children's Hospital, Capital Medical University, China.
authors.forename: Qiu-long
authors.initials: QL
authors.lastname: Shen
authors.affiliation: General Surgery Department of Beijing Children's Hospital, Capital Medical University, China.
authors.forename: Dong-yang
authors.initials: DY
authors.lastname: Wu
mesh_terms: D000293:Adolescent; D001003:Anal Canal; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D010502:Perineum / Q000601:surgery*; D012006:Rectovaginal Fistula / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: H-type; Normal anus; Perineal surgery; Rectovestibular fistula