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Posterior sagittal rectoplasty for rectal atresia: a definitive approach
A Aslam1, M T Ashworth, R D Spicer
1Department of Paediatric Surgery, Bristol Royal Hospital for Sick Children, St. Michael's Hill, BS2 8BJ, Bristol, UK.
Insights
This study presents a successful surgical treatment for rectal atresia in two infants. The posterior sagittal approach with end-to-end anastomosis and colostomy effectively corrected the anomaly.
Area of Science:
- Pediatric Surgery
- Congenital Anomalies
Background:
- Rectal atresia is a rare congenital anomaly requiring surgical correction.
- Previous attempts at correction in the first infant were unsuccessful.
Purpose of the Study:
- To describe a successful surgical technique for treating rectal atresia.
- To evaluate the efficacy of the posterior sagittal approach for rectal atresia repair.
Main Methods:
- Two infants diagnosed with rectal atresia underwent surgical correction.
- The procedure involved end-to-end anastomosis via a posterior sagittal approach.
- A covering colostomy was utilized during the repair.
Main Results:
- Both infants were successfully treated with the described surgical method.
- The posterior sagittal approach facilitated effective anatomical correction.
- The covering colostomy aided in the postoperative management.
Conclusions:
- End-to-end anastomosis via a posterior sagittal approach with a covering colostomy is an effective treatment for rectal atresia.
- This surgical technique offers a viable solution for complex cases, including those with prior failed interventions.
Abstract:
Two infants with rectal atresia were successfully treated by end-to-end anastomosis via a posterior sagittal approach with a covering colostomy. The first child had previously undergone numerous local procedures in an attempt to correct the anomaly.
