Rehabilitation of patients after anoplastic surgery is the most
complex and poorly studied problem in the surgery of anorectal
malformations. The process of rehabilitation should begin from the
moment of diagnosis. Already in the earliest period, the question
should be decided at what age a radical operation will be carried
out. The second problem is always to determine the size of the
outer opening of the ectopic anal canal. If the available opening is
not sufficient for normal bowel evacuation, which is accompanied
by signs of intestinal obstruction, this child should be given a
colostomy, with which the patient will live until the moment of the
radical surgery. In those cases where the external aperture of the
ectopic anal canal allows unobstructed evacuation of the intestine
before the radical surgery is performed, the colostomy should be
applied as the first stage of multi-stage surgery. According to the
literature, after surgical correction of the studied pathology in girls
40-60% of children suffer from incontinence of intestinal contents
of various degrees, 27-38% of children suffer from constipation (K.
U. Ashcraft, T. M. Holder 1990, K. N. Salamov, U. V. Dultsev, 1998,
A. I. Lenyushkin 2003, A. Pena 1988, A. M. Holschneider 1994, V.
Aftimas 2001) .