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Related Experiment Videos

Anal shift: preliminary results.

Ashok J Shah1, N Bhattacharjee, D N Patel

  • 1Department of Pediatric Surgery, Sheth K.M. School of P.G. Medicine & Research and V.S. General Hospital, Ahmedabad, India.

Journal of Pediatric Surgery
|February 22, 2003
PubMed
Summary
This summary is machine-generated.

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A new surgical technique called Anal Shift offers a simple and effective solution for correcting anterior ectopic anus in female infants. This procedure avoids colostomy and results in normal anal function and an aesthetically acceptable outcome.

Area of Science:

  • Pediatric Surgery
  • Congenital Anomalies
  • Surgical Innovation

Background:

  • Perineal ectopic anus is a common congenital anomaly in female infants.
  • The condition often presents with a stenosed opening close to the vulva, requiring surgical intervention.
  • Existing surgical methods include posterior anal transposition and PSARP, sometimes with colostomy.

Purpose of the Study:

  • To introduce and describe a novel, simpler surgical procedure for correcting anterior ectopic anus in female infants.
  • To evaluate the efficacy and aesthetic outcomes of the Anal Shift technique.
  • To present a colostomy-free surgical approach for this condition.

Main Methods:

  • The study reports on twelve female infants (3-18 months) treated with the Anal Shift technique.

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  • The procedure involves repositioning the anus to the normal anatomical site and constructing the perineal body.
  • No diverting colostomy was performed in any of the cases.

    • Main Results:

    • Follow-up ranged from 12 to 24 months, showing normal anal function and satisfactory vulvo-anal distance.
    • No anal stenosis was observed post-surgery.
    • One patient experienced superficial wound dehiscence but achieved good results after reoperation.

    Conclusions:

    • Anal Shift is a simple and safe surgical procedure for anterior ectopic anus in girls.
    • The technique preserves rectal support and neurovascular supply, minimizing retraction risk.
    • The absence of a suture line on the anterior neoanus reduces stricture formation, offering a satisfactory outcome without colostomy.