ANORECTAL MALFORMATION FEMALE CHILDREN ONE STAGE PROCEDURE ASARP
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 25
Abstract
CONTEXT Anorectal malformation is a common congenital defect in children and its management has evolved over the years. Anterior sagittal approach is established as a popular technique for the correction of anovestibular fistula in children with anorectal malformations due to advancement of technology magnification, muscle stimulation and precise placement of the anal canal within the external sphincter complex. AIMS To study the outcome of anterior sagittal approach as single stage procedure for anorectal malformations in female children at tertiary care centre. SETTINGS AND DESIGN Paediatric Surgery Department, Gandhi Medical College, Bhopal. A retrospective analysis. METHODS 24 female patients with congenital anorectal malformation who underwent Anterior Sagittal Anorectoplasty (ASARP) as a single stage procedure were reviewed. The surgical procedure and its outcome were evaluated. RESULTS There was no case that had significant haemorrhage during or after procedure; 4 cases had rent in the posterior vaginal wall which was managed adequately due to early detection. There were six cases with wound infection. One case had dehiscence; three cases developed constipation, which was managed with dilation and bowel training. CONCLUSION ASARP as a single stage procedure without colostomy cover should be considered as a preferable option for the management of anovestibular fistula in female children.
Authors and Affiliations
Dhirendra
Keywords
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- EP ID EP154375
- DOI 10.14260/jemds/2016/315
- Views 95
- Downloads 0
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