Primary Anterior Saggital Anoplasty in Female Anorectal malformation
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 12
Abstract
Aim: To describe the technique and results of anterior saggital approach i.e. Anterior Saggital Anorectoplasty (ASARP) for low & intermediate Anorectal malformation ARM Methods: Patients with low & intermediate Anorectal malformation (ARM) was taken for ASARP without colostomy as definitive surgery at presentation. Pre-operative preparation was done with rectal washouts and clear liquid diet for 24 hours. Those patients who require abdominal mobilization does not need to change the position during the procedure in this approach .Rectum is separated from vagina under direct vision and placed in sphincter muscle complex without dividing it . Results: ASARP was performed on 27 patients, between September 2011 to September 2015 (age range from 3 days to 9 years). Follow up ranges from 3 months to 4 years.3 patients had wound complication in immediate post operative period that was minor wound infection & resolved on conservative management and no patient required colostomy. Four patients presented with anal stenosis which were successfully treated by dilatation. Mucosal prolapse was seen in one patient who was self limiting. Three patients have long term follow up with constipation. Conclusion: Anterior Saggital approach is technically easy with acceptable complication and showed good cosmetic result in female ARM
Authors and Affiliations
Nitin Goel
Keywords
Related Articles
- EP ID EP209202
- DOI -
- Views 83
- Downloads 0
Evaluation of Functional outcomes in Bimalleolar Fractures Treated with CCS and DFALP
Introduction: Bimalleolar fractures are very common in ankle injuries because of increased incidence of road traffic accidents and industrial trauma. Anatomical reduction and stable internal fixation is important for goo...
Status of Serum Leptin and Lipid Profile in Newly Diagnosed Psoriasis Patients: A Case Control Study
Objective: Psoriasis is an autoimmune chronic inflammatory disease involving the skin and mucous membranes. Besides the autoimmune and genetic factors many stressful physiologic, psychological events and environmental fa...
Role of Gefitinib as First Line Treatment in Patients with Advanced Adenocarcinoma Lung
Lung cancer is the most common cause of cancer related deaths worldwide1 . Even with advances in chemotherapy and surgical therapy, the overall 5- year survival in lung cancer remains dismal at 12% to 16%2
Histopathological Audit of Gastric Tumours with Special Reference to Expression of MUC2 in Gastric Carcinomas – A Six Month Analysis in a Tertiary Care Centre
Objective: The study is the histopathological audit of Gastric tumours in the Department of Pathology of RG Kar Medical college in six months, with special reference to MUC2 expression in gastric carcinomas. Materials an...
MUCINOUS CYST ADENOMA OVARY PRESENTING AS MEIG SYNDROME – A CASE REPORT
Demon-Meig syndrome in case of adenoma ovary is extremely rare; there is occasional report available in literature of such association. We present a case of adenoma ovary with size and weight that exceeded previously rep...