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Anorectal malformations: definitive surgery during adulthood.

M P J Lopez1, V I Encila2, S G Alamo1

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Summary
This summary is machine-generated.

Adults with Anorectal Malformations (ARMs) present rare surgical challenges. This study details adult ARM surgical profiles and outcomes, highlighting the complexity of managing these conditions in later life.

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Area of Science:

  • Colorectal Surgery
  • Pediatric Surgery
  • Anorectal Malformations

Background:

  • Anorectal malformations (ARMs) are typically corrected in infancy, making adult cases rare.
  • Adult presentation of ARMs often results from incomplete correction or late diagnosis.

Purpose of the Study:

  • To describe the demographic and clinical profile of adult patients undergoing definitive ARM surgery.
  • To evaluate the surgical outcomes, including morbidity and functional results, in this patient cohort.

Main Methods:

  • Retrospective study of adult patients (≥18 years) who underwent ARM surgery between 2004-2012.
  • Data collected from surgical records, including patient demographics, prior treatments, surgical procedures, and postoperative complications.

Main Results:

  • Eight adult patients were analyzed, with recurrent urinary tract infections being a common presenting issue.
  • Most patients had prior diversion surgery; definitive procedures varied, including PSARP and laparotomy.
  • Postoperative complications occurred in 37.5% of cases, with no mortality reported. Stoma reversal was successful in five patients.

Conclusions:

  • Managing persistent Anorectal Malformations in adulthood is challenging due to disease rarity and complex anatomy.
  • Limited surgical experience and intricate anatomical variations contribute to the formidable nature of these adult ARM cases.