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Combined posterior sagittal and three-flap anoplasty in the repair of anorectal anomalies.
J Pediatr Surg. 2001 May; 36(5):711-4.JP

Abstract

PURPOSE

The aim of this study was to describe a new technique for the repair of high and intermediate imperforate anus.

METHODS

From 1989 to 1999, 22 children with high and intermediate imperforate anus (17 boys, 5 girls) were operated on with a combination of a posterior sagittal and 3-flap perineal anoplasty. Long-term clinical follow up (to a maximum of 10 years) was done in all patients as well as a recent phone interview with a questionnaire regarding bowel function and degree of satisfaction with the result of the surgical correction. A continence ratio (CR, patient score/maximum possible score) was obtained by a blinded interviewer.

RESULTS

A continence survey was obtained in 19 patients. The average CR was 0.68. The CR for high anomalies was 0.62 and for intermediate anomalies was 0.78 (0.84 for girls and 0.64 for boys). Patients with sacral anomalies had a CR of 0.58. Two patients with Trisomy 21 had associated Hirschsprung's disease and were excluded from analysis.

CONCLUSIONS

Advantages of this combined surgical approach are excellent anatomic exposure, the ability to limit rectal mobilization to a minimum, reduction of the incidence of mucosal prolapse, the new skin-lined anal canal may assist attainment of continence by providing a "sensory warning zone," and, finally, the cosmetic appearance is satisfactory.

Authors+Show Affiliations

Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11329571

Citation

Bass, J, et al. "Combined Posterior Sagittal and Three-flap Anoplasty in the Repair of Anorectal Anomalies." Journal of Pediatric Surgery, vol. 36, no. 5, 2001, pp. 711-4.
Bass J, Rubin SZ, Walton JM, et al. Combined posterior sagittal and three-flap anoplasty in the repair of anorectal anomalies. J Pediatr Surg. 2001;36(5):711-4.
Bass, J., Rubin, S. Z., Walton, J. M., & Cada, M. (2001). Combined posterior sagittal and three-flap anoplasty in the repair of anorectal anomalies. Journal of Pediatric Surgery, 36(5), 711-4.
Bass J, et al. Combined Posterior Sagittal and Three-flap Anoplasty in the Repair of Anorectal Anomalies. J Pediatr Surg. 2001;36(5):711-4. PubMed PMID: 11329571.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Combined posterior sagittal and three-flap anoplasty in the repair of anorectal anomalies. AU - Bass,J, AU - Rubin,S Z, AU - Walton,J M, AU - Cada,M, PY - 2001/5/1/pubmed PY - 2001/7/13/medline PY - 2001/5/1/entrez SP - 711 EP - 4 JF - Journal of pediatric surgery JO - J Pediatr Surg VL - 36 IS - 5 N2 - PURPOSE: The aim of this study was to describe a new technique for the repair of high and intermediate imperforate anus. METHODS: From 1989 to 1999, 22 children with high and intermediate imperforate anus (17 boys, 5 girls) were operated on with a combination of a posterior sagittal and 3-flap perineal anoplasty. Long-term clinical follow up (to a maximum of 10 years) was done in all patients as well as a recent phone interview with a questionnaire regarding bowel function and degree of satisfaction with the result of the surgical correction. A continence ratio (CR, patient score/maximum possible score) was obtained by a blinded interviewer. RESULTS: A continence survey was obtained in 19 patients. The average CR was 0.68. The CR for high anomalies was 0.62 and for intermediate anomalies was 0.78 (0.84 for girls and 0.64 for boys). Patients with sacral anomalies had a CR of 0.58. Two patients with Trisomy 21 had associated Hirschsprung's disease and were excluded from analysis. CONCLUSIONS: Advantages of this combined surgical approach are excellent anatomic exposure, the ability to limit rectal mobilization to a minimum, reduction of the incidence of mucosal prolapse, the new skin-lined anal canal may assist attainment of continence by providing a "sensory warning zone," and, finally, the cosmetic appearance is satisfactory. SN - 0022-3468 UR - https://www.unboundmedicine.com/medline/citation/11329571/Combined_posterior_sagittal_and_three_flap_anoplasty_in_the_repair_of_anorectal_anomalies_ DB - PRIME DP - Unbound Medicine ER -