Paediatric Surgery (Ukraine). 2025. 3(88): 123-127. doi: 10.15574/PS.2025.3(88).123127
Fofanov O. D.
Ivano–Frankivsk National Medical University, Ukraine

For citation: Fofanov OD. (2025). Principles of anatomical reconstruction of the pelvic floor during surgical treatment of congenital malformations – sacrococcygeal teratoma in children (literature analysis and own recommendations). Paediatric Surgery (Ukraine). 3(88): 123-127. doi: 10.15574/PS.2025.3(88).123127.
Article received: Jul 12, 2025. Accepted for publication: Sep 16, 2025.

Aim – to identify key factors and basic principles of surgical technique that influence the functional outcome in the reconstruction of pelvic floor structures during the surgical treatment of sacrococcygeal teratomas (SCT) in children.
The literature review was conducted using PubMed, Elsevier, and textbooks. Key factors influencing the functional outcome of pelvic floor structure restoration during surgical treatment of pelvic floor tumors were identified. Specific changes in the sacrococcygeal region caused by tumor growth were described. Ways to optimize surgical technique for anatomical restoration of pelvic floor structures after pelvic floor tumor resection in children were analyzed. The anatomical type of the tumor, the severity of the growth of the SCT, the degree of pathological influence and germination into the surrounding structures, the severity of dysplastic changes in the musculoskeletal and nervous system are key factors that affect the functional outcome in the reconstruction of pelvic floor structures and determine the individual differentiated strategy in the surgical removal of SCT.
Gentle anatomical dissection of the teratoma within the tumor capsule, maximum preservation of nerves and muscle fibers, identification of altered anatomical structures, and reconstruction of their normal anatomy, respectively, are the main principles of the surgical technique for anatomical reconstruction of the pelvic floor in the surgical treatment of SCT.
The author declares that there is no conflict of interest.
Keywords: congenital malformations, sacrococcygeal teratoma, fetus, newborn child, older child, perinatal support, surgical treatment.

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