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Assessing the risk factors for surgical site infections after anal reconstruction surgery in patients with anorectal malformations: a retrospective analysis.
Pediatr Surg Int
December 2024
Department of Pediatric Surgery, Hokkaido Medical Center for Child Health and Rehabilitation, 1-1-240-6, Kanayama, Teine-ku, Sapporo, Hokkaido, 006-0041, Japan.
Purpose: This study aimed to identify surgical site infection (SSI) risk factors after anal reconstruction surgery in patients with anorectal malformations (ARMs).
Methods: This retrospective analysis from January 2013 to December 2022, including all pediatric surgical facilities in Hokkaido, Japan, examined consecutive patients with ARMs, excluding cloacal cases, regarding perioperative and SSI factors during their initial anal reconstruction surgeries.
Results: This study involved 157 cases of major clinical groups and 7 cases of rare/regional variants, among whom 4% developed SSIs.
Sirenomelia-Challenges and Treatment Approach in a Rare Case.
Birth Defects Res
December 2024
The Department of Surgery and Urology for Children and Adolescents, Medical University of Gdansk, Gdansk, Poland.
Introduction: Sirenomelia is a very rare congenital structural anomaly characterized by abnormal development of the caudal region of the body with varying degrees of fusion of lower limbs. Mostly, the condition is lethal for the baby. Most babies do not survive even after surgery.
View Article and Find Full Text PDFNavigating the Anesthetic Challenges of Vertebral Defects, Anorectal Anomalies, Cardiac Anomalies, Tracheoesophageal Fistula (TEF)/Esophageal Atresia, Renal Anomalies, and Limb Abnormalities (VACTERL) Association: A Delicate Balancing Act.
Cureus
September 2024
Anesthesiology, Hospital de Braga, Braga, PRT.
Article Synopsis
- - VACTERL association is a rare congenital disorder characterized by a combination of birth defects, including vertebral, anorectal, cardiac, tracheoesophageal, renal, and limb anomalies, requiring a clinical diagnosis of at least three of these defects.
- - A case study highlights the anesthetic management of a newborn with VACTERL undergoing surgical repair of a tracheoesophageal fistula (TEF) and a colostomy, demonstrating the use of regional anesthesia to maintain spontaneous ventilation and minimize risks.
- - The surgical procedure involved ketamine and dexmedetomidine for sedation, an ultrasound-guided caudal block for effective pain management, and dopamine for hemodynamic support, allowing the newborn to recover and progress
Pentalogy of Fallot with Anorectal Malformation: A Case Report.
JNMA J Nepal Med Assoc
July 2024
Neonatology division, Department of Pediatrics, Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal.
Article Synopsis
- Pentalogy of Fallot is a rare congenital heart disease found in 3 out of 10,000 live births, characterized by Tetralogy of Fallot and an Atrial Septal Defect.
- A rare case is presented involving a full-term female baby born with Pentalogy of Fallot, an imperforate anus, and a rectovaginal fistula.
- This combination of anomalies highlights the importance of comprehensive evaluations before and after birth for proper detection and treatment.
Comparing Loop and Divided Colostomy for Anorectal Malformation: A Systematic Review and Meta-Analysis.
J Pediatr Surg
January 2025
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.
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