Treatment of malformations with exposed slime in children

And slime is a congenital malformation in which the urethra, vagina, and anus all pour into the same place. Having a greasy spot will lead to complications of urinary tract and genital infections.
In addition, if the external slime is a very rare condition, it will be accompanied by many other malformations, the exposed slime will be accompanied by the bladder, herniation of the abdominal wall, the pelvis and the pubic bone of the child cannot close. In this case, some parts of the body are not covered by the skin but are exposed, which is very dangerous, the surgical treatment of this deformity is also very complicated, requiring the surgeon to have deep professional knowledge.
Mechanism of formation of malformations: At the end of 7th week of pregnancy, the ureterogenital and urogenital septum develop into the slime, dividing the slime into the urogenital membrane on the abdominal and anal side. at the back. Normally, the anal membrane is self-dissolving to open the rectum to the anal canal and the urinary-sex membrane also dissolves on its own, leaving the urinary and vaginal openings. If the septum has not yet descended to the perineum, but the slime membrane has dissolved early, so the urethral opening, the vaginal opening and the anal opening all pour into the same cavity below the vagina, a malformation will be formed. .

In the first 12 weeks of pregnancy, if you are exposed to some risk factors such as rubella virus infection, flu, frequent exposure to radioactive sources... will increase the risk of birth defects. natural. Therefore, when determining pregnancy, you should take the initiative to get vaccinated against some diseases that can affect the fetus, have a reasonable lifestyle and diet, avoid radioactive sources...
Expression Currently, the child still has a slime cavity:
Many cases are detected from the fetal period by fetal ultrasound and prenatal diagnosis. The baby is born without an anus, the external genitalia is smaller than usual. The baby is seen urinating with stools. In case of exposed slime: The genital area is seen with a mass including the bladder, urethra, and the external genitalia, without skin covering. With the condition that the child still has a slime cavity, the child will often have urogenital infections due to the communication with the gastrointestinal tract, to treat this malformation can only use surgical methods.

Before surgery, it is necessary to treat urinary and genital infections with antibiotics and make a temporary colostomy during the neonatal period until the age of surgery.
The best time to have surgery for a child with a deformity and a slime cavity is 1 year old.
Purpose of surgery:
Surgery to separate and reconstruct the urethra, vagina, and anus with near-normal function and appearance. During surgery, the doctor separates the rectum from the vagina, separates the vagina from the urethra, and shapes the urethra, vagina and anus. For the case of exposed viscous fossa: The manifestations are very complicated, often accompanied by other malformations, the surgery is difficult, it is necessary to reconstruct the exposed organs and bring them into the cavity. abdomen... Notes after surgery:
Children are monitored for survival factors, using antibiotics to relieve pain to prevent infection. The anus is temporarily created before 1 year of age and closes 6 months after surgery. When being discharged from the hospital, parents need to monitor problems after surgery such as infection, normal function of urination and defecation, and vaginal atrophy and narrowing. Periodic follow-up visits according to the doctor's appointment and any time something unusual occurs.

And slime is a birth defect that can be detected in advance by fetal ultrasound and prenatal diagnosis. Knowing in advance of birth defects helps sick family members. The patient is best prepared for the care and treatment of the disease. And scleroderma is a birth defect that is treated with surgery, surgery to help reconstruct the organ in the most normal way.
Parents can bring their children to Vinmec International General Hospital for examination, diagnosis and treatment. Here, there is a team of well-trained pediatricians with high technical qualifications, rich experience in the treatment of diseases of infants, children and children under 16 years old. Vinmec is equipped with a system of modern and advanced medical supplies and professional service quality that will support high efficiency in diagnosis and treatment of patients.
For detailed advice, please come directly to Vinmec Health system or book online HERE.
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