Imperforate anus : a prospective study to 60 cases repaired by posterior sagittal ano rectoplasty (PSARP)‎ in the maternity and Children Teaching Hospital Al-Qadisiya

الملخص EN

A prospective study of 60 cases of congenital gastro-intestinal obstruction were collected from the pediatric surgical words of The Maternity and Child Teaching Hospital, Al-Qadisiya-Al- Diwaniya ,in the period from the 1st of July 2004 to the end of June 2008 .

49 males (81.6 %) and 11 (18.3 %) females, of mean age 16.5 months were evaluated.

Early postoperative, stenosis of neoanus developed in 6 patients (10 %), 5 (8.3 %) with mucosal prolapse, 3 (5 %) patients developed recurrence of fistula (3 boys had a recto urethral fistula were repaired with the redo PSARP and urethroplasty) The most frequent bowel function post of complications were soiling 11 (18.3 %), constipation 9 (15 %), and fecal incontinence 4 (6.6 %).

Total continence was present in 36 (60 %) of the patients after PSARP.

Patients referred to the pediatric surgery unit were diagnosed and treated according to the stage their management had reached.

Patients with a colostomy and a high lesion were managed by a PSARP and those with failed previous surgery were managed with a redo anorectoplasty.