Kelleher Deirdre C, Henderson Peter W, Coran Arnold, Spigland Nitsana A
Division of Pediatric Surgery, Weill Cornell Medical College, New York, NY 10021, USA.
Pediatr Surg Int. 2012 Jun;28(6):653-6. doi: 10.1007/s00383-012-3064-z. Epub 2012 Feb 15.
H-type rectovestibular fistula is a rare anorectal malformation with poor consensus on an optimal operative management. We report our management of a recurrent fistula and review previously described operative techniques. Full excision of the tract without apposing suture lines or perineal body dissection simplifies the repair while minimizing complications and recurrence risk.