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[Improving continence by reoperation].

S Hofmann von Kap-herr1, J L Koltai

  • 1Klinik und Poliklinik für Kinderchirurgie, Johannes Gutenberg-Universität Mainz.

Langenbecks Archiv Fur Chirurgie. Supplement II, Verhandlungen Der Deutschen Gesellschaft Fur Chirurgie. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1989
PubMed
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Reoperation for anorectal malformations in children can improve continence. Modern surgical techniques offer better outcomes for patients with impaired bowel control.

Area of Science:

  • Pediatric Surgery
  • Anorectal Malformations
  • Continence Outcomes

Context:

  • Study conducted at Mainz University Hospital between 1969 and 1988.
  • 191 children with anorectal anomalies were operated on.
  • Malformations were classified as deep, intermediate, or high.

Purpose:

  • To evaluate the long-term continence outcomes in children treated for anorectal anomalies.
  • To assess the effectiveness of reoperations in improving bowel control.

Summary:

  • Of 191 children, 53 had impaired continence and 8 required a colostomy.
  • 37 children underwent reoperations for persistent incontinence.
  • Post-reoperation, 14 achieved full continence, 11 partial, and 11 remained incontinent.

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Impact:

  • Results suggest reoperation with modern surgical methods can significantly improve continence in pediatric patients.
  • Highlights the importance of surgical technique in managing complex anorectal malformations.