Ghandour H M, Spalletta M, Giacomello L, Balducci T, Bettili G, Ottolenghi A
Dipartimento di Scienze Chirurgiche, Università degli Studi, Verona.
Minerva Chir. 1998 Nov;53(11):935-8.
A case of anal agenesia with recto-cutaneous fistula is presented. The recto-cutaneous fistula in an intermediate or high anomaly seldom noticed so that it is not included in the common classifications. The surgical approach performed by us was that described by Mollard. The anterior perineal pull-through, under proximal protective enterostomy, allow to reduce the rate of postoperative complications and sequences and obtain--as in our patient--a normal continence and sphincteric function with an excellent esthetic outcome.
本文报告一例肛门闭锁合并直肠皮肤瘘的病例。中高位畸形中的直肠皮肤瘘很少被注意到，因此未被纳入常见分类中。我们采用的手术方法是莫拉德所描述的方法。在近端保护性肠造口术下进行会阴前拖出术，可降低术后并发症和后遗症的发生率，并能像我们的患者一样，获得正常的控便能力和括约肌功能，且美观效果极佳。
