Related Experiment Videos
Causes of postoperative mortality in anorectal malformations: analysis and conclusions regarding therapy
Progress in Pediatric Surgery
|January 1, 1979
Insights
Rectal malformation mortality was 18.2% in 279 children. Most deaths resulted from severe associated conditions, prematurity, or brain damage, with some due to postoperative infections.
Area of Science:
- Pediatric Surgery
- Congenital Malformations
- Public Health
Background:
- Rectal malformations represent a significant congenital anomaly in pediatric surgery.
- Assessing mortality rates is crucial for understanding the impact of these conditions.
Purpose of the Study:
- To evaluate the mortality rate associated with rectal malformations.
- To identify the primary causes of death in affected children.
Main Methods:
- Retrospective analysis of 279 cases of rectal malformation.
- Data collected from hospitals in Munich, Berne, and Lucerne.
- Categorization of mortality causes including associated malformations, prematurity, brain damage, and infections.
Main Results:
- An overall mortality rate of 18.2% (51 out of 279 children) was observed.
- Severe associated malformations, prematurity, or brain damage accounted for three-fourths of fatalities.
- Postoperative infections were responsible for 11 deaths.
Conclusions:
- Rectal malformation carries a substantial mortality risk.
- Associated conditions and complications significantly influence outcomes.
- Preventing postoperative infections and managing comorbidities are critical for improving survival rates.
Abstract:
We studied 279 cases of rectal malformation in the hospitals of Munich, Berne and Lucerne in order to evaluate the mortality in this condition. 51 children died, an overall mortality of 18.2%. Three fourths of these fatalities were due to associated severe malformations, prematurity or brain damage respectively. Eleven children died because of postoperative infections. In the future the use of appropriate measures to avoid these complications should be attempted.