BASICS OF REHABILITATION OF CHILDREN AFTER OPERATIONS ON THE COLON AND ANORECTAL AREA
Introduction In addition to successful surgical treatment, post-operative treatment is very important for the normalization of bowel function in children who have undergone operations on the colon and anorectal region. After leaving the hospital, such patients receive only general clinical supervision and physiotherapy treatment, as the surgeon, pediatricians and general practitioners do not fully understand the rehabilitation measures in the postoperative period.
The aim of the study is to evaluate the results of patient rehabilitation and increase the awareness of general practitioners and pediatricians about the basics of rehabilitation of patients after colon and anorectal surgery.
Materials and methods: The control group consisted of 60 patients and the main group consisted of 45 patients who underwent colon and anorectal surgery. The Holschneider scale was used to evaluate the outcomes of the rehabilitation program.
Results The complex of rehabilitation measures included expansion of the anus with a Gegara dilator, normalization of defecation (training enemas), psychomotor and electrostimulation, rectal gymnastics.The use of rehabilitation treatment led to a decrease in the unsatisfactory result from 10.2% to 8.2%.
Conclusion. The article contains information about the importance of rehabilitation in the post-operative period, the medical and socio-economic problem of adequate treatment, and the measures taken to restore the patient's health as quickly as possible.
Аssylzhan М. Мessova1, https://orcid.org/0000-0001-5373-0523
Makhmutbay Sanbayev1, https://orcid.org/0000-0001-8681-6972
Marat T. Aubakirov1, Alisher Arintay1,
Sabit M. Zhussupov2, https://orcid.org/0000-0002-0551-126Х
Samatbek T. Abdrakhmanov1, https://orcid.org/0000-0002-4270-3498
1 NCJSC “Semey Medical University”, Semey, Kazakhstan;
2 Pavlodar branch of NCJSC «Semey Medical University», Pavlodar, Republic of Kazakhstan;
1. Аубакиров М.Т., Дюсембаев А.А.,. Санбаев М.С, Дюсупжанов, Е.А. Жумажанов и др. Реабилитационная терапия после операции по поводу пороков развития аноректальной области и болезни Гиршпрунга у детей// Наука и здравоохранение. 2012. №3, С. 27-28.
2. Анам Н. Функциональное состояние аноректальной зоны в норме и при хронических расстройствах дефекации у детей: дис. канд. мед. наук. М.1985, 224 с.
3. Бекмурадов Н. Реабилитация детей после операций при аноректальных аномалиях: дис. канд. мед. наук. М., 1986. 240 c.
4. Винокурова Н.В., Цап Н.А. Комплексный подход к лечению аноректальных мальформаций у детей // Вестник Уральского государственного медицинского университета. 2018. № 1, С.18-20.
5. Григович И.Н., Пяттоев, Иудин А.А. Коррекция послеоперационного недержания кала у детей// Клин, хирургия. 1991. № 6,c.49-52.
6. Шумов Н.Д. и др. Коррекция нарушений функции толстой кишки после оперативного лечения аноректальных аномалий и болезни Гиршпрунга // XVI Съезд хирургов Украинской ССР. Киев. 1988,С. 272 -273.
7. Ленюшкин А.И., Бекмурадов Н. Реабилитация детей после проктологических операций // Клин, хирургия. 1986. №6, С. 66-68.
8. Салов П.П. Новые способы исследования адаптационной и эвакуаторной функции толстой кишки у детей // Клин. хирургия. 1987. №1, С. 70 - 76.
9. Салов П.П. Функциональный отдел толстой кишки (ФОТК). Колодинамическое исследование и реабилитация. Новосибирск, 1993. 169 с.
10. Bischoff A.B., Peña J.A. Critical analysis of fecal incontinence scores // Pediatric Surgery International. 2016. 32. 54-62р.
11. Brandt M.L., Daigneau C., GravissE.A., Naik-Mathuria B., Fitch M.E., Washburn K.K. Validation of the Baylor Continence Scale in children with anorectal malformations // J. Pediatr. Surg. 2007. 42 (6), 1015-1021.
12. Bokova E., Svetanoff W.J., Rosen J.M., Levitt M.A., Rentea R.M. State of the Art Bowel Management for Pediatric Colorectal Problems: Functional Constipation // Children (Basel). 2023.10(6)б, 1078.
13. Corno F., Volpatto S., Borasi A., Barberis A., Mistrangelo M. Trattamento dei disturbi funzionali dopo la chirurgia retto-anale: efficacia della riabilitazione del pavimento pelvico [Treatment of functional diseases after rectum anal surgery: effectiveness of rehabilitation of the pelvic pavement] // Minerva Chir. 2009. 64(2), 197-203.
14. De Blaauw I., Midrio P., Breech L., Bischoff A., Dickie B., et al. Treatment of adults with unrecognized or inadequately repaired anorectal malformations: 17 cases of rectovestibular and rectoperineal fistulas // J. Pediatr. Adolesc. Gynecol. 2013. 26 (3), 156-160.
15. Divarci E., Ergun O. General complications after surgery for anorectal malformations // Pediatr Surg Int. 2020. 36(4),431-445.
16. Fabio Doria do Amaral. Treatment of anorectal anomalies by anterior perinealanorectoplasty // J. Pediatr. Surg. 1999. 34(9), 1315-1319.
17. Gangopadhyay A.N., Pandey V., Gupta D.K., Sharma S.P., Vijayendar K., Verma A. Assessment and comparison of fecal continence in children following primary posterior sagittal anorectoplasty and abdominoperineal pull through for anorectal anomaly using clinical scoring and MRI // J. Pediatr. Surg. 2016. 51(3), 430-434.
18. Hasset S., Snell S., Hughes-Thomas A., Holmes K. 10-year outcome of children born with anorectal malformation, treated by posterior sagittal anorectoplasty, assessed according to the Krickenbeck classification // J. Pediatr. Surg. 2009. 44(2), 399-403.
19. Holschneider A., Hutson J., Pena A., Beket E. et al. Pretiminary report on the International Conference for the Development of Standards for the Treatment of Anorectal Malformations // J. Pediatr Surg. 2005. 40, 1521-6.
20. Lane V.A., Skerritt C., Wood R.J., Reck C., et al. A standardized approach for the assessment and treatment of internationally adopted children with a previously repaired anorectal malformation (ARM) // J. Pediatr. Surg. 2016. 51(11), 1864-1870.
21. Lawrence M.R. The failed anoplasty: Successful outcome after reoperativeanoplasty and sigmoid resection //J. Pediatr. Surg. 1999. 33(7), 1145-1148.
22. Nam S.H., Kim D.Y., Kim S.C. Can we expect a favorable outcome after surgical treatment for an anprectal malformation//J. Pediatr. Surg. 2016. 51(3), 421-424.
23. Pena A., Grasshoff S., Levitt M. Reoperations in anorectal malformations // J. Pediatr. Surg. 2007.42(2), 318325.
24. Pinter A.B., Hock A., Vastyan A., Farkas A. Does the posterior sagittal approach with perirectal dissection impair fecal continence in a normal rectum? // J. Pediatr. Surg. 1996. 31(10), 1349-1353.
25. Svetanoff WJ, Kapalu CL, Lopez JJ, Fraser JA, Briggs KB, Rentea RM. Psychosocial factors affecting quality of life in patients with anorectal malformation and Hirschsprung disease-a qualitative systematic review // J Pediatr Surg. 2022 Mar;57(3):387-393.
26. Wood, R.J.; Vilanova-Sanchez, A.; El-Gohary, Y.; Ahmad, H.; Halleran, D.R.; Reck-Burneo, C.A.; Rentea, R.; Sebastiao, Y.; Nash, O.; Booth, K.; et al. One-Year Impact of a Bowel Management Program in Treating Fecal Incontinence in Patients with Anorectal Malformations // J. Pediatr. Surg. 2021, 56, 1689–1693.
References: [1-9]
1. Aubakirov M.T., Dyusembaev A.A.,. Sanbaev M.S, Dyusupzhanov, E.A. Zhumazhanov i dr. Reabilitatsionnaya terapiya posle operatsii po povodu porokov razvitiya anorektal'noi oblasti i bolezni Girshprunga u detei [Rehabilitation therapy after surgery for malformations of the anorectal region and Hirschsprung's disease in children]. Nauka i zdravookhranenie [Science & Healthcare]. 2012. №3, pp. 27-28. [in Russian]
2. Anam N. Funktsional'noe sostoyanie anorektal'noi zony v norme i pri khronicheskikh rasstroistvakh defekatsii u detei [Functional state of the anorectal zone in normal conditions and in chronic defecation disorders in children]. Dis. kand. med. nauk. [Cand. Dis.]. M. 1985, 224 p. [in Russian]
3. Bekmuradov N. Reabilitatsiya detei posle operatsii pri anorektal'nykh anomaliyakh [Rehabilitation of children after operations for anorectal anomalies]. Dis. kand. med. nauk. [Cand. Dis.]. M., 1986. 240 p. [in Russian]
4. Vinokurova N.V., Tsap N.A. Kompleksnyi podkhod k lecheniyu anorektal'nykh mal'formatsii u detei [An integrated approach to the treatment of anorectal malformations in children]. Vestnik Ural'skogo gosudarstvennogo meditsinskogo universiteta [Bulletin of the Ural State Medical University]. 2018. № 1, pp.18-20. [in Russian]
5. Grigovich I.N., Pyattoev, Iudin A.A. Korrektsiya posleoperatsionnogo nederzhaniya kala u detei [Correction of postoperative fecal incontinence in children]. Klin, khirurgiya [Сlin. surgery]. 1991. № 6, pp. 49-52. [in Russian]
6. Shumov N.D. i dr. Korrektsiya narushenii funktsii tolstoi kishki posle operativnogo lecheniya anorektal'nykh anomalii i bolezni Girshprunga [Correction of dysfunctions of the colon after surgical treatment of anorectal anomalies and Hirschsprung's disease]. XVI S"ezd khirurgov Ukrainskoi SSR [XVI Congress of Surgeons of the Ukrainian SSR. Kyiv]. Kiev. 1988, pp. 272 -273. [in Russian]
7. Lenyushkin A.I., Bekmuradov N. Reabilitatsiya detei posle proktologicheskikh operatsii [Rehabilitation of children after proctological operations]. Klin, khirurgiya [Сlin. surgery]. 1986. №6, pp. 66-68. [in Russian]
8. Salov P.P. Novye sposoby issledovaniya adaptatsionnoi i evakuatornoi funktsii tolstoi kishki u detei [New methods for studying the adaptation and evacuation function of the colon in childre]. Klin, khirurgiya [Сlin. surgery].1987. №1, pp. 70 - 76. [in Russian]
9. Salov P.P. Funktsional'nyi otdel tolstoi kishki (FOTK). Kolodinamicheskoe issledovanie i reabilitatsiya [Functional part of the colon (FOTC). Colodynamic study and rehabilitation]. Novosibirsk, 1993. 169 p. [in Russian].
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Messova A.M., Sanbayev M., Aubakirov M.T., Arintay A., Zhussupov S.M., Abdrakhmanov S.T. Basics of rehabilitation of children after operations on the colon and anorectal area // Nauka i Zdravookhranenie [Science & Healthcare]. 2024, (Vol.26) 1, pp. 95-101. doi 10.34689/SH.2024.26.1.012Related publications:
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