Aluwihare A P
Department of Surgery, Faculty of Medicine, University of Peradeniya, Sri Lanka.
Ann Acad Med Singap. 1987 Jul;16(3):511-5.
Out of a total of 372 patients with imperforate anus, 99 males with high imperforate anus have been treated. Of these patients 34 have had a new operation through the perineum; 26 of these operations were done as a one stage procedure in the neonatal period. During the operation, through the perineum the puborectalis sling is identified, the recto urethral fistula divided, and the rectum mobilised and brought through the pelvic floor to be sutured to H flaps at the site of the original perineal incision in such a way that these flaps are drawn up to form part of the new anal canal. Post operative clinical and radiological evaluation show good urethral and rectal contours with good functional results. The good functional results are probably partly due to the timing of surgery and partly due to the type of operation.
在总共372例肛门闭锁患者中，99例患有高位肛门闭锁的男性患者已接受治疗。在这些患者中，有34例通过会阴进行了新的手术；其中26例手术是在新生儿期作为一期手术完成的。手术过程中，通过会阴识别耻骨直肠肌吊带，切断直肠尿道瘘，游离直肠并将其通过盆底拉至原会阴切口处与H形皮瓣缝合，使这些皮瓣向上牵拉形成新肛管的一部分。术后临床和影像学评估显示尿道和直肠轮廓良好，功能结果良好。良好的功能结果可能部分归因于手术时机，部分归因于手术类型。
