Reoperative Surgery for Anorectal Anomalies

Peña, Alberto; Hong, Andrew R.; Midulla, Peter; Levitt, Marc A.

doi:10.1016/s1055-8586(02)00022-7

Cited by 56 publications

(47 citation statements)

References 12 publications

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“…From this, 1420 were primary and 386 were secondary procedures. One hundred seventy-four were operated on secondarily to try to improve bowel control, an experience we have previously reported [1,2]. Two hundred twelve were reoperated on because they had significant complications related to the previous repair done at other institutions.…”

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confidence: 99%

Reoperations in anorectal malformations

Peña

Grasshoff

Levitt

2007

Journal of Pediatric Surgery

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confidence: 99%

Reoperations in anorectal malformations

Peña

Grasshoff

Levitt

2007

Journal of Pediatric Surgery

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“…O tratamento cirúrgico convencional é a confecção da colostomia pélvico proximal (20)(21) , em neonatos com um dia de vida, seguindo a formação da fístula com a realização da anorretoplastia sagital posterior, realizada aos 4 ou 6 meses de vida (22)(23) . Após três meses dessa cirurgia é realizado o fechamento da colostomia, para isso é necessário ocorrer com frequência a dilatação suave da fístula anal no neonato, utilizando os dilatadores próprios (24) . Há chances de incontinência fecal em pacientes que passaram por cirurgias em decorrência da malformação anorretal (25) , o tratamento do intestino à base de enemas, laxantes e medicamentos são bem sucedidos, quando bem administrados.…”

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Anomalia anorretal e cuidados maternos

Melo

Kamada

2011

Rev. Bras. Enferm.

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ABSTRACT ABSTRACT ABSTRACT This purpose of the article was to make a bibliographic review about anorectal malformations and maternal cares. The matter was addressed through an integrative review undertaken in consultation of articles published in the databases indexed in the Virtual Health Library. We identified 25 publications that met the inclusion and exclusion criteria pre-established. In the studies reviewed, there were different study designs, demonstrating that some children born with anorectal anomalies requiring urgent surgery. Health professionals, along with the parents, need to develop partnerships that would enable a long-term monitoring and careful guidance. It is necessary to do more research on the subject, with methodological proposals that reflect the essence of the best care of an ostomized child. K K K K Key wor ey wor ey wor ey wor ey words: ds: ds: ds: ds: Ostomy; Infant care; Nursing RESUMEN RESUMEN RESUMEN RESUMEN RESUMEN El objetivo de este artículo fue realizar un estudio de revisión bibliográfica sobre anomalía ano retal y cuidados maternos. El asunto fue abordado por medio de una revisión integral realizada por consulta de artículos publicados en las bases de datos indexados en la Biblioteca Virtual en Salud. Fueron identificadas 25 publicaciones que atendieron a los criterios de inclusión y exclusión pre-establecidos. En los estudios analizados se observaron distintos dibujos metodológicos demostrando que algunos niños nacidos con anomalía ano retal necesitan de cirugía de urgencia. Los profesionales de salud, juntamente con los padres, necesitan desarrollar grupos que posibiliten un acompañamiento a largo plazo y orientaciones cuidadosas. Se hace necesario que nuevos estudios sean realizados sobre el tema, con propuestas metodológicas que retraten mejor la esencia del cuidado con los niños con ostomía.

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“…Some researchers have attributed to the length of the functional anal canal an active participation in maintaining continence, either separately or in association with other anatomical elements. 31,32 We believe that computerized profilometry is one of the major innovatory contributions towards patient care following posterior sagittal anorectoplasty. It is capable of providing reliable information regarding the three-dimensional topography of the anorectal canal, and also regarding the distribution of the pressures involved in the process of acquiring anorectal fecal continence, thus greatly assisting in the clinical conduct administered to such patients.…”

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confidence: 99%

Posterior sagittal anorectoplasty in anorectal anomalies: clinical, manometric and profilometric evaluation

2007

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CONTEXT AND OBJECTIVE: Anorectal malformations comprise a spectrum of anomalies that continue to be difficult to treat, even today. The aim was to evaluate the fecal continence of children who underwent posterior sagittal anorectoplasty due to anorectal malformations, via computerized anorectal manometry and profilometry. DESIGN AND SETTING:Prospective study at Universidade Federal de São Paulo.METHOD: 82 patients (56.1% boys; 43.9% girls) of mean age 85.5 months were evaluated. They were divided into continent, partially continent and incontinent groups. Age, sex, manometric variables and profilometric parameters were studied. The results were statistically analyzed. RESULTS:Among the 82 patients, 37.8% were continent, 25.6% were partially continent and 36.6% were incontinent. The overall mean resting pressure was 22 mmHg, and the means for the continent, partially continent and incontinent groups were, respectively, 30.7 mmHg, 23 mmHg and 14.7 mmHg. The overall mean pressure response to voluntary contraction was 56 mmHg, and the means for the groups were 65.4 mmHg, 55.8 mmHg and 46.6 mmHg, respectively. The rectosphincteric reflex was absent in 82.9% of the cases. In the profilometry analysis for all patients together, blue (20 to 50 mmHg) and yellow (50 to 80 mmHg) were predominant, and there was a similar distribution for the continent and partially continent patients. However, among the incontinent patients, green (< 20 mmHg) and blue prevailed.CONCLUSIONS: Manometric and computerized profilometric analyses were an excellent method for postoperative evaluations on patients with intermediate and high anorectal anomalies, and for therapeutic planning.

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Reoperative Surgery for Anorectal Anomalies

Cited by 56 publications

References 12 publications

Reoperations in anorectal malformations

Reoperations in anorectal malformations

Anomalia anorretal e cuidados maternos

Posterior sagittal anorectoplasty in anorectal anomalies: clinical, manometric and profilometric evaluation

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