Abdurashid Z. Khamraev1, Dilshod B. Rakhmonov2
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Repeated Reconstructive Surgeries for Postoperative Complications of Anorectal Malformations in Children Abdurashid Z. Khamraev1, Dilshod B. Rakhmonov2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12795

Abstract

The causes of postoperative complications in the correction of anorectal malformation were studiedaccording to follow-up, general clinical and additional research method in 65 operated sick children. Inthe process of diagnosis and surgical correction, a number of diagnostics, tactical, and combined errorsand shortcomings were identified that caused postoperative complications, which required a large numberof repeated reconstructive operations. The authors recommend various options for tactical and operational- technical treatment approaches when solving the problems of repeated reconstructive operations. At thesame time, it is proposed to study the causes, analyze errors, complications and failures, indications, terms,accesses, the volume of the operation and evaluate their effectiveness. The authors, thanks to the optimizationof tactics, method of surgical and rehabilitation treatment, were able to improve the results of postoperativecomplications to 81.4%.In the course of the study of catamnestic and examination data 65 of children with postoperative non-NAS inthe process of diagnosis and surgical correction errors and deficiencies were revealed as: unreliable primarydiagnosis, insufficiency of preoperative preparation, inadequate indication and choice of the method ofoperation, inadequate postoperative rehabilitation. All these had diagnostic, tactical, technical and combinedcharacter, which led to the formation of the postoperative HCA, which required a large number of repeatedoperations. Therefore, the authors suggest that to solve the problems of repeated operations is not limitedto the improvement of surgical techniques, and to study the causes, analysis of errors, complications andfailures that lead to repeated interventions, indications, timing, access, scope of surgery and their evaluationof effectiveness, medical and social rehabilitation of patients.The authors, thanks to the optimisation of tactics, method of surgical and rehabilitation treatment, managedto correct the post-surgical NAC up to 80,4%.