Delayed presentation of anorectal malformation for definitive surgery

2012 ◽  
Vol 28 (8) ◽  
pp. 831-834 ◽  
Author(s):  
Shilpa Sharma ◽  
Devendra K. Gupta
Keyword(s):  
Anorectal Malformation ◽  
Delayed Presentation ◽  
Definitive Surgery

scholarly journals Anorectal malformation patients’ outcomes after definitive surgery using Krickenbeck classification: A cross-sectional study

Heliyon ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. e03435 ◽  
Author(s):  
Firdian Makrufardi ◽  
Dewi Novitasari Arifin ◽  
Dwiki Afandy ◽  
Dicky Yulianda ◽  
Andi Dwihantoro ◽  
...  
Keyword(s):  
Anorectal Malformation ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Definitive Surgery

scholarly journals Anorectal malformation with long perineal fistula: one of a special type

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sen Li ◽  
Jun Wang
Keyword(s):  
Anorectal Malformation ◽  
Bowel Function ◽  
Anorectal Malformations ◽  
Contrast Enema ◽  
Posterior Sagittal Anorectoplasty ◽  
Function Score ◽  
Perineal Fistula ◽  
Definitive Surgery ◽  
Inhibitory Reflex

AbstractThe anorectal malformation with long perineal fistula is a rare anomaly in the spectrum of anorectal malformations. Aim of the study is to describe the series of patients with anorectal malformation with long perineal fistula and compare the outcome with patient with standard perineal fistula. From March 2012 to January 2019, 7 patients who suffered from anorectal malformation with long perineal fistula were retrospectively reviewed. Three were operated on primarily by our department, and 4 cases were re-operated after a perineal anoplasty repair performed elsewhere. Four were operated by laparoscopy assisted anorectoplasty, and 3 cases were repaired by posterior sagittal anorectoplasty. The follow-up outcomes were compared with 71 cases of normal perineal fistula (NPF) in the same period. 7 cases have been followed up for 0.5–4 years (M = 2.57 ± 1.26) after definitive surgery. Their bowel function score was lower than normal perineal fistula (SPF = 12, range: 5–18; NPF = 18.5, range: 18–20). Four cases underwent anorectomanometry. The incidence of rectoanal inhibitory reflex was lower in the special type group. (p = 0.14). Three cases of contrast enema using barium: 2 cases of colorectal dilatation and thickening changes, 1 case showed no obvious abnormalities. Anorectal perineal fistula should be examined by distal colostogram at preoperation. This should be altered in: When suspecting a case of anorectal malformation type long perineal fistula a preoperative contrast enema could give insight of the anatomy befor performing a anoplasty.

Management dilemmas in delayed presentation of traumatic atlanto-occipital dislocations

2005 ◽  
Vol 2 (1) ◽  
pp. 41-45
Author(s):  
AR Maqsood Ahmed ◽  
DI Bhat ◽  
B Indira Devi ◽  
BA Chandramouli
Keyword(s):  
Delayed Presentation

Two Siblings with Total Colonic Aganglionosis Extended to the Ileum

Swiss Surgery ◽  
2003 ◽  
Vol 9 (4) ◽  
pp. 187-189
Author(s):  
Aslan ◽  
Caglar ◽  
Karagüzel ◽  
Melikoglu
Keyword(s):  
Intestinal Obstruction ◽  
Loop Ileostomy ◽  
Good Condition ◽  
Disease Type ◽  
Definitive Treatment ◽  
Entire Colon ◽  
Total Colonic Aganglionosis ◽  
Protective Ileostomy ◽  
Definitive Surgery ◽  
Partial Intestinal Obstruction

Total colonic aganglionosis (TCA) extended to the ileum is seen quite rare among infants with Hirschsprung's disease. Type and timing of definitive surgery in these patients are controversial. This report was presented to discuss the management of two siblings with TCA. Case 1: A two-day-old girl was operated for partial intestinal obstruction. During laparotomy, serial frozen biopsies proved TCA extended to the terminal ileum and a loop ileostomy was performed. At five months of age, a modified Duhamel-Martin procedure without protective ileostomy was performed. An endo-GIA stapler was transanally used for colo-ileal anastomosis. She is doing well for the last five years. Case 2: A one-day-old boy admitted to the hospital with similar findings to his sister. Frozen biopsies during first laparotomy proved that majority of ileum and entire colon was aganglionic and a proximal ileostomy was performed. At 10 months of age, he underwent a similar Duhamel-Martin operation. He is in a good condition for the last four years. Conclusion: In infants, our modification on Duhamel-Martin procedure, which is based on the use of an endo-GIA stapler transanally for colo-ileal anastomosis without protective ileostomy, may be utilized as an alternative method in the definitive treatment of patients with TCA.

Nil Perception of Light Due to Delayed Presentation of an Inflammed Orbit

2011 ◽  
Vol 3 (11) ◽  
pp. 355-357
Author(s):  
Dr. Pradeep Pakalapati ◽  
◽  
Dr Spurthi Kalva ◽  
Dr Vivekanand Undrakonda ◽  
Dr GudimetlaSandeep Reddy
Keyword(s):  
Delayed Presentation
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