TO ASSESS THE MORBIDITY, MORTALITY AND SHORT-TERM OUTCOME OF PRIMARY PSARP IN MALE BABIES WITH HIGH AND INTERMEDIATE ANORECTAL MALFORMATIONS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 36
Abstract
BACKGROUND The aim of the study is to assess morbidity, mortality and short-term outcomes of Primary Posterior Sagittal Anorectoplasty (PSARP) in male neonates. MATERIALS AND METHODS Design - Prospective Experimental case study. Setting - Paediatric Surgery Department of a Tertiary Care Hospital. Study Period - January 2010 to December 2011. Participants - Neonates and Infants with Anorectal Malformations. RESULTS 20 babies with intermediate and high anorectal anomalies which had under gone primary PSARP without colostomy were included in the study. Mean operational time was 1 hour. Meconuria was present in 35%. 75% had intermediate type and 25% high fistula. Associate anomalies were present in 60% cases. Post-operative early complications were seen in 30% and late complications in 28.5% cases. One (5%) died due to septicaemia and possible cardiac anomaly. No one suffered from true incontinence after operation. CONCLUSION Primary PSARP is an ideal treatment in male babies with high and intermediate ARMs.
Authors and Affiliations
Pramod Kumar Mohanty, Arun Kumar Dash, Hiranya Kishore Mohanty, Gadadhar Sarangi
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