Central Asian Journal of Pediatrics

Central Asian Journal of Pediatrics


In the period of 2017-2018, 37 patients aged from 3 to 11 years old with a diagnosis of postoperative anal incontinence were operated at the clinic of TashPMI to restore the retention function of the locking apparatus of the rectum. Among 13 patients, 9 underwent one session of gel plastics with polyacrylamide gel. 4 patients in the early postoperative period required additional treatment sessions. In 6 children, cicatricial deformity of the anal canal, lesion of the external and part of the internal sphincter of the rectum was noted. Due to the condition in this category of patients, we preferred to preimpose a preventive stoma. In 11 patients after reparing of mucosa and without significant damage to the sphincter apparatus excision of the resisting part of the intestinal mucosa was performed. In 7 patients stenosis of the anus, mainly was noted in 5 patients after the operation of the intermediate proctoplasty and in 2 after the abdominal - intermediary proctoplasty. Primary bougienage did not help these patients, and therefore had to excise the stenotic scar and perform perineal proctoplasty. Thus, the manipulation of the gel plasty of the anal canal is expedient and effective in cases where the partial inferiority of the puborectal muscle. The advantage of this method is its simplicity and affordability. Sphincteroplasty operations and the formation of the smooth muscle of the internal sphincter is advisable to perform with prior preventive ostomy of the colon.

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