| Imperforate anus. | |
| | |
MedLine Citation:
|
PMID: 1265603 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Sucessful treatment of the child with imperforate anus yields an individual with satisfactory continence and a healthy urinary tract. These goals are achieved by accurate evaluation of the newborn, optimal technical results, and conscientious follow-up. The infant born with one of these malformations frequently has a serious associated anomaly which also requires early specific diagnosis and management. When the bowel has passed through the puborectalis in utero, the deformity can often be definitively treated in the neonate by dilations or anoplasty. However, if a urinary or high vaginal fistula is present, or if the anomaly is of the supralevator type, definitive surgery is best postponed some months and the neonate given a colostomy. We have found the sacroabdominoperitoneal approach to be the most satisfactory pullthrough procedure for the supralevator lesion. The children with high, supralevator anomalies have higher mortality rates and, in one out of four cases, have suboptimal fecal continence. They require the utmost in technical skill and continuing care if they are to lives free of social stigma. The mortality rate in all other types is low and the functional continence uniformly acceptable. |
| | |
Authors:
|
J C Adkins; W B Kiesewetter |
Related Documents
:
|
7856443 - Development of the pharynx in normal and malformed fetuses. 7561453 - The impact of major congenital malformations on mortality in a neonatal intensive care ... 9777673 - Brain injury in the premature infant: overview of clinical aspects, neuropathology, and... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Surgical clinics of North America Volume: 56 ISSN: 0039-6109 ISO Abbreviation: Surg. Clin. North Am. Publication Date: 1976 Apr |
Date Detail:
|
Created Date: 1976-07-06 Completed Date: 1976-07-06 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0074243 Medline TA: Surg Clin North Am Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 379-94 Citation Subset: IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abnormalities, Multiple Anus, Imperforate / complications, diagnosis, surgery* Bone and Bones / abnormalities Cardiovascular Abnormalities Child Child, Preschool Esophageal Atresia / complications Follow-Up Studies Genitalia / abnormalities Humans Infant Infant, Newborn Tracheoesophageal Fistula / complications |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Omphalocele.
Next Document: A clinicopathologic study of hepatic dysfunction following shock.