Delayed presentation of anorectal malformations in a tertiary care hospital in India (original) (raw)

Pediatric Surgery International, 2021

Abstract

To study delayed presentation of ARMs, management and its effect on surgical and functional complications. It is a retrospective study from March 2015 to March 2020. All the patients satisfying the criteria of delayed ARMs, i.e., presenting 7 days after birth were included. Information regarding type of ARM, mode of presentation, time of presentation, associated anomalies, management strategy, postoperative complications and functional outcome was noted. Minimum follow-up period was 6 months. Out of 102 patients with ARM, 44 patients presented late. Among the 44 patients, 9 were males and 35 were females. Associated comorbidities observed are low birth weight (n = 9) and preterm (n = 13). Associated anomalies observed were cardiac (n = 18), renal (n = 8), other gastrointestinal (n = 5) and skeletal (n = 1). (1) Male: rectourethral fistula—2 (staged repair), anal stenosis—3 (anoplasty) and anocutaneous fistula—4 (anoplasty). (2) Female: vestibular fistula: 15 (6 primary definitive su...

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