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Ectopic anus in childhood

A Ottolenghi1, M Sulpasso, S Bianchi

  • 1Department of Surgery, Verona University, Italy.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|June 1, 1994
PubMed
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This study presents non-invasive and posterior anal transplant treatments for ectopic anus, showing good results in improving fecal continence and aesthetics. These methods offer effective alternatives to complex surgical techniques.

Area of Science:

  • Pediatric Surgery
  • Colorectal Surgery
  • Anorectal Malformations

Background:

  • Ectopic anus, particularly perineal and vulvar types, can be associated with constipation due to external sphincter dysfunction.
  • Previous surgical techniques for these conditions exist, but novel approaches are explored.
  • Fecal continence issues can arise from reduced anorectal angulation in some cases.

Purpose of the Study:

  • To evaluate the efficacy of non-invasive treatment for symptomatic primary perineal anus.
  • To assess the outcomes of posterior anal transplant via the perineum in infants and children with vulvar anus.
  • To investigate the role of the perineal spur in fecal continence.

Main Methods:

  • Non-invasive treatment was applied to patients with primary perineal anus.

Related Experiment Videos

  • Posterior anal transplant was performed in six pediatric patients with vulvar anus.
  • Outcomes were assessed based on esthetic improvement and fecal continence.

    • Main Results:

    • Non-invasive treatment showed positive effects on symptomatic primary perineal anus.
    • Posterior anal transplant yielded good esthetic and functional results within three months.
    • Improved fecal continence was observed, potentially linked to enhanced anorectal angulation and perineal spur function.

    Conclusions:

    • Non-invasive and posterior anal transplant are effective treatments for certain types of ectopic anus.
    • Posterior anal transplant offers a less complex alternative with good outcomes.
    • The perineal spur appears to be a crucial component in maintaining fecal continence.