IMPROVEMENT OF THE TREATMENT AND PREVENTION OF POSTOPERATIVE COMPLICATIONS IN CHILDREN WITH ANORECTAL MALFORMATIONS

Authors

  • Ismadiyarov B. U., Dusaliev F. M., Boboyev M. Sh., Qarshiyev U. D. Tashkent State Medical University

DOI:

https://doi.org/10.55640/

Keywords:

Anorectal malformations; children; postoperative complications; anorectal sphincter insufficiency; reconstructive surgery; rehabilitation therapy; functional outcomes; fecal continence.

Abstract

Anorectal malformations in children are complex congenital defects often associated with postoperative complications. Anorectal sphincter insufficiency remains one of the most severe outcomes and significantly affects bowel function and quality of life. Repeated reconstructive surgeries are frequently required and are associated with increased risks.

Aim: To improve the results of surgical treatment of anorectal malformations in children by reducing postoperative complications.

Materials and Methods: A total of 337 children with anorectal malformations were treated between 2007 and 2021. Postoperative anorectal insufficiency developed in 102 patients (30.2%). For detailed analysis, 58 patients were selected and divided into two groups: those who received rehabilitation therapy before and after repeated reconstructive surgeries and those who did not. Comprehensive clinical, instrumental, and functional diagnostic methods were used.

Results: Diagnostic errors accounted for 39% of unsuccessful primary corrections, while tactical and technical errors accounted for 61%. Patients who received rehabilitation therapy showed improved anal sphincter function, better fecal continence, fewer strictures, and longer intervals between surgeries. Functional outcomes improved in 30% of these patients.

Conclusion: Surgical treatment of anorectal malformations is a multistage and complex process. Comprehensive diagnostics, individualized surgical tactics, and mandatory rehabilitation therapy before and after each reconstructive stage significantly improve functional outcomes and reduce the need for repeated operations.

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Published

2026-02-11

Issue

Vol. 5 No. 02 (2026): Journal of Multidisciplinary Sciences and Innovations

Section

Articles

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Authors retain the copyright of their manuscripts, and all Open Access articles are disseminated under the terms of the Creative Commons Attribution License 4.0 (CC-BY), which licenses unrestricted use, distribution, and reproduction in any medium, provided that the original work is appropriately cited. The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations.

How to Cite

IMPROVEMENT OF THE TREATMENT AND PREVENTION OF POSTOPERATIVE COMPLICATIONS IN CHILDREN WITH ANORECTAL MALFORMATIONS. (2026). Journal of Multidisciplinary Sciences and Innovations, 5(02), 813-816. https://doi.org/10.55640/

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