Anterior or posterior sagittal anorectoplasty without colostomy for low-type anorectal malformation: how to get a better outcome?

Journal of Pediatric Surgery
Caroline F Kuijper, Daniel C Aronson

Abstract

Usually, anorectal malformations (ARM) are treated in 2 or 3 stages for fear of disturbed wound healing and subsequent damage to the anal sphincter complex. The aim of this study was to assess the feasibility, safety, advantages, and follow-up of an anterior or posterior sagittal anorectoplasty in low-type ARM (rectoperineal or rectovestibular), performed without colostomy. Prospective collection of data regarding demographics, VACTERL (Vertebral-, Anal-, Cardiac-, Tracheo-Esophageal-, Renal-, Limb malformations) screening, perioperative measurements, surgeons, and complications. In 35 consecutive children (13 boys, 22 girls), repair of a low-type ARM was performed without colostomy. There were 13 boys and 10 girls with a rectoperineal and 12 girls with a rectovestibular fistula. The median age at operation was 4 months (range, 0-73 months); 34% being performed in the newborn period. Seventeen children had one or more other congenital anomaly. Preoperatively, all patients had rectal washouts with oral and rectal neomycin, and perioperative antibiotics, either 24 h (prophylaxis) or for 2 to 5 days. An anterior or posterior sagittal anorectoplasty was performed. Postoperatively, 9 children had no enteral feeding and total parente...Continue Reading

References

Apr 6, 2004·Journal of Pediatric Surgery·B ChandramouliN Ananthakrishnan
Oct 16, 2004·Journal of Pediatric Surgery·Guochang LiuTuanguang Li
Jan 24, 2006·Asian Journal of Surgery·Md Abdul AzizAbdur Rashed Khan
Sep 28, 2007·Pediatric Surgery International·Sanjay KulshresthaA N Gangopadhyay
Oct 18, 2008·Journal of Pediatric Surgery·Basant KumarVirendra Narayan Jhamariya

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Citations

Aug 6, 2014·Journal of Pediatric Surgery·Rossella ArnoldiErnesto Leva
Jun 14, 2015·Journal of Pediatric Surgery·Luis De la Torre-MondragónAlejandro Ruiz-Montañez
Feb 28, 2015·American Journal of Surgery·Maxime M van MeegdenburgPaul M A Broens
Jun 3, 2016·African Journal of Paediatric Surgery : AJPS·Omid Amanollahi, Saman Ketabchian
Feb 2, 2018·Journal of Indian Association of Pediatric Surgeons·Mohamed Ibrahim Elsawaf, Mohamed S Hashish
Jun 7, 2017·Pediatric Surgery International·Suleyman Cuneyt KarakusBulent Hayri Ozokutan
Jun 11, 2017·Indian Journal of Pediatrics·Ajay Narayan Gangopadhyay, Vaibhav Pandey
Dec 12, 2018·BioMed Research International·Louise TofftPernilla Stenström
Feb 23, 2020·Pediatric Surgery International·Emre Divarci, Orkan Ergun
Sep 6, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Shuai LiShao-Tao Tang
May 31, 2021·Journal of Pediatric Surgery·Christopher W MarencoUNKNOWN PCPLC
Oct 12, 2020·Journal of Pediatric Surgery·Amr Abdelhamid AbouZeidMona M Abo El-Ela
Oct 28, 2021·Pediatric Surgery International·Gaurav ShandilyaJiledar Rawat

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