Document Detail

Challenges in imperforate anus: I--Primary perineal rectourethroanoplasty for anatomical and functional correction in males with supralevator anomalies.
MedLine Citation:
PMID:  3435019     Owner:  NLM     Status:  MEDLINE    
Out of a total of 372 patients with imperforate anus, 99 males with high imperforate anus have been treated. Of these patients 34 have had a new operation through the perineum; 26 of these operations were done as a one stage procedure in the neonatal period. During the operation, through the perineum the puborectalis sling is identified, the recto urethral fistula divided, and the rectum mobilised and brought through the pelvic floor to be sutured to H flaps at the site of the original perineal incision in such a way that these flaps are drawn up to form part of the new anal canal. Post operative clinical and radiological evaluation show good urethral and rectal contours with good functional results. The good functional results are probably partly due to the timing of surgery and partly due to the type of operation.
A P Aluwihare
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Academy of Medicine, Singapore     Volume:  16     ISSN:  0304-4602     ISO Abbreviation:  Ann. Acad. Med. Singap.     Publication Date:  1987 Jul 
Date Detail:
Created Date:  1988-03-11     Completed Date:  1988-03-11     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7503289     Medline TA:  Ann Acad Med Singapore     Country:  SINGAPORE    
Other Details:
Languages:  eng     Pagination:  511-5     Citation Subset:  IM    
Department of Surgery, Faculty of Medicine, University of Peradeniya, Sri Lanka.
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MeSH Terms
Anal Canal / surgery*
Anus, Imperforate / pathology,  surgery*
Infant, Newborn
Perineum / surgery*
Rectal Fistula / surgery
Rectum / surgery*
Urethra / surgery*
Urethral Diseases / surgery
Urinary Fistula / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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