In spite of the progress in the field of surgical treatment of anorectal malformations, faecal incontinence is, in variable degrees, still an unpleasant and frequent postoperative sequela. Postoperative CT demonstrate the location of the pulled-through intestine, including whether it had been correctly placed through the levator ani and in the spincteric muscular complex. In our nine patients we discovered a correlation between the CT findings and the clinical picture. The cases of incontinence whether associated with sacral anomalies or not were characterized either by marked hypoplasia of musculature or by the pull-through having missed the sphincteric musculature. CT scans could be of use in planning further surgery.
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http://dx.doi.org/10.1007/BF02387631 | DOI Listing |
Pediatr Surg Int
November 2024
Comprehensive Colorectal Center, Department of Surgery, Children's Mercy Kansas City, 2401 Gillham Road, Kansas City, MO, 64108, USA.
Purpose: Anorectal malformations (ARMs) are rare congenital anomalies causing altered anatomy and frequent hospitalizations. Parental awareness and clear communication are crucial in family-centered care. This study assesses the impact of patient-held ARM Medical Alert Cards on healthcare providers and caregivers.
View Article and Find Full Text PDFJ Pediatr Surg
October 2024
Orthopedics Division, Department of Surgery, Mbarara University of Science & Technology, Mbarara, Uganda.
JNMA J Nepal Med Assoc
July 2024
Neonatology division, Department of Pediatrics, Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal.
J Pediatr Surg
September 2024
Pediatric Surgery Meta-Analysis Study Group (PeSMA), Türkiye; International Center for Colorectal and Urogenital Care, Children's Hospital Colorado, Department of Pediatric Surgery, Aurora, CO, USA.
Introduction: The optimal type of colostomy for patients with anorectal malformations (ARM) remains unclear. We conducted a systematic review and meta-analysis to compare the clinical outcomes of loop colostomies (LC) versus divided colostomies (DC) in patients with ARM.
Methods: After review registration (PROSPERO: CRD42024513335), we searched multiple databases for comparative studies on LCs and DCs in patients with ARMs.
Medicine (Baltimore)
September 2024
Department of Surgery, Division of Pediatric Surgery, Addis Ababa University College of Health Sciences, Addis Ababa, Ethiopia.
Anorectal malformations (ARMs) consist of a range of anomalies that are often associated with other anomalies The purpose of the study is to assess the incidence of associated congenital anomalies that are seen in patients with ARMs. An observational prospective study was conducted on 162 cases with ARM from February 2019 to January 2020, and data were collected on patient demographics, type of ARM, and associated anomalies using a prestructured questionnaire and analysis done using SPSS (IBM), version 23, software. Relevant statistical analysis was done, and the results are presented in tables and charts.
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