Anorectal Malformations- 12 Years Study

Abstract

BACKGROUNDAnorectal malformations are among the more frequent congenital anomalies encountered in paediatric surgery with an estimated incidence ranging between 1 in 3500 and 1 in 5000 live births. Most cases are diagnosed in the early neonatal period. There i s a wide spectrum of abnormalities ranging from low anomalies with perineal fistula having simple management to high anomalies with complex management.It is a retrospective study of anorectal malformations in our Institute during July 2005 to July 2017 from our department over the 12-year period and the aim of the study is to analyse type of anomalies, procedures done and outcome in our settings. Study Design-Retrospective record based study. MATERIALS AND METHODSWe collected data from our records from July 2005 to July 2017, from our Paediatric Surgery Department over 12-year period. A total of 690 patients were analysed from our records; 478 were male children, 212 were female children from Government General Hospital and Guntur Medical College, Guntur, Andhra Pradesh. RESULTSOut of 690, 478 were male (69.3%) and 212 (30.7%) were female; 191 males had low anomaly (39.9%) and 18 female had low anomaly (8.49%). Total 209 patients of both male and female sex had low anomalies (30.2%). All low anomalies were treated by anoplasty. A total of 481 children of both sex had high or intermediate anomalies (69.8%), managed by either staged procedures or single stage repair at appropriate weight gain. CONCLUSIONMost of the low anomalies and majority high anomalies have reasonably acceptable result with achievement of complete fecal and urinary continence with good quality of life, which is long-term goal of these malformations.