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04:53
Surgical Management of Meatal Stenosis with Meatoplasty
Published on: November 30, 2010
Anorectal malformations: Definitive management during and beyond adolescence
Minakshi Sham1, Dasmit Singh, Dileep Phadke
1Department of Paediatric Surgery, B J Medical College, Pune, India.
Journal of Indian Association of Pediatric Surgeons
|August 8, 2012
Summary
Definitive repair of anorectal malformations in adolescents and adults can achieve socially acceptable fecal continence. Expert surgical management leads to good functional and cosmetic outcomes, even with delayed presentation.
Area of Science:
- Pediatric Surgery
- Colorectal Surgery
- Congenital Anomalies
Background:
- Anorectal malformations (ARMs) often require surgical correction.
- Delayed presentation of ARMs, particularly during adolescence and adulthood, poses unique challenges for surgical repair and functional outcomes.
Purpose of the Study:
- To evaluate the outcomes of definitive surgical repair for anorectal malformations in patients presenting during and beyond adolescence.
- To assess the feasibility and success rates of reconstructive surgery for ARMs in a delayed presentation cohort.
Main Methods:
- Retrospective analysis of 15 adolescent and adult patients (13 female, 2 male; aged 13-32 years) undergoing primary or staged definitive ARM repair.
- Surgical techniques included primary anterior sagittal anorectoplasty (ASARP) for three patients and posterior sagittal anorectoplasty (PSARP) or abdominal-PSARP for twelve patients.
Main Results:
- All 15 patients achieved socially acceptable fecal continence after a follow-up period of 1-4.5 years.
- Patients reported high satisfaction with both the functional and cosmetic results of their surgical repairs.
Conclusions:
- Definitive repair of anorectal malformations in adolescents and adults can yield excellent functional outcomes, including fecal continence.
- Expert surgical management is crucial for successful outcomes in patients with delayed presentation of ARMs.
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