| Treatment of anorectal anomalies by anterior perineal anorectoplasty. | |
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MedLine Citation:
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PMID: 10507419 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The aim of this study was as an introduction of a technical modification to the anterior perineal approach for the treatment of anorectal anomalies (AA) and analysis of its long-term results. METHODS: Forty-three children with AA underwent a modified anterior perineal anorectoplasty (APA), which involved the following technical guidelines: construction of a rectoanal muscular conduit through the levator ani muscle and the external anal sphincter, which were sutured to each other; preservation of the rectal end of the fistula; and invagination of the perineal skin through the neoanus. Fecal continence was assessed on average 7 years postreconstruction by Kelly's score. RESULTS: Of the 20 patients (19 boys) with high AA, results were good, fair and poor in, respectively, 50%, 30%, and 20% of them. Results were good and fair in, respectively, 79% and 21% of the 14 patients (all girls) with intermediate AA. All 9 patients (7 boys) with low AA had good results. The differences among groups were statistically significant (P = .016). CONCLUSIONS: This modified APA allows for the surgeon to securely identify, preserve, and reconstruct all anatomic structures that are relevant for fecal continence. The long-term results of this initial series suggest that this modified APA is a valuable alternative for the treatment of AA. |
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Authors:
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F D do Amaral |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 34 ISSN: 0022-3468 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 1999 Sep |
Date Detail:
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Created Date: 1999-10-26 Completed Date: 1999-10-26 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1315-9 Citation Subset: IM |
Affiliation:
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Division of Pediatric Surgery, Santa Casa de Misericórdia Central Hospital and Santa Casa School of Medical Sciences, São Paulo, Brazil. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anal Canal
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abnormalities*,
surgery* Child Child, Preschool Digestive System Surgical Procedures / methods* Female Humans Infant Infant, Newborn Male Rectum / abnormalities*, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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