DIAGNOSIS AND SURGICAL TREATMENT OF POSTOPERATIVE ANAL INCONTINENCE IN ANORECTAL MALFORMATIONS IN CHILDREN

To date, there is no single final point of view on determining the main causes of development and the role of various etiopathogenetic factors leading to postoperative anal incontinence, as well as the choice of a standard method of treatment and ways to prevent this complication, this problem remains unsolved. The study is based on the results of examination and treatment of 234 children with postoperative anal incontinence due to anorectal malformations. In order to determine the degree of anal incontinence and conduct a comparative analysis, our patients were divided into two groups: the main 134 (57.3%) patients and the control 100 (42.7%) patients, who underwent instrumental, endoscopic and functional research methods. Remote results of postoperative anal incontinence in children due to anorectal malformation were studied in 65 of 79 operated patients in the period from 6 months to 5 years. Good and satisfactory results were noted in 86.1% of cases and a negative outcome in 13.9% of cases. In order to obtain positive results in operated patients, they must be under dispensary observation until complete recovery, conservative and rehabilitation measures must be carried out on time and correctly. Only in this case can good and satisfactory results be guaranteed.