Posterior sagittal anorectoplasty (PSARP) : a new approach for treating anorectal malformations
Joint Authors
Dawud, Nawfal S.
Yahya, Qutaybah
Source
Journal of the Faculty of Medicine Baghdad
Issue
Vol. 48, Issue 4 (31 Dec. 2006), pp.348-352, 5 p.
Publisher
University of Baghdad Faculty of Medicine
Publication Date
2006-12-31
Country of Publication
Iraq
No. of Pages
5
Main Subjects
Topics
Abstract EN
Background : -Anorectal malformation is a congenital anomaly of different varieties and its correction needs good experience , knowledge about this varieties and specific surgical tools, otherwise the child may lose his the only chance to live normally without disastrous complication like incontinence.
Objective : -assessment of the advantage of this procedure in management of anorectal malformations and the percentage for anal continence.
Patients and methods : -.
This study was carried out in the child's central teaching hospital in Baghdad total number (70) cases were included in the study, 37 males and 33 females: aged 7 days to 6 years.
They attended the hospital between October 1998-october 2004.
Male defect included : 1) Low type ....
5 cases No colostomy needed.
2) Intermediate type ....
23 cases.
needed colostomy 3) High type ....
9 cases needed colostomy.
• Female defects: 1) Imperforate anus with vestibular fistula---31 cases.
2) Imperforate anus without fistula 2 cases.
Results: From the study we gain the following results : - all the male patients with low and intermediate types 28 cases (40 %) show 100 % continence.
All female patients with imperforated anus with vestibular fistula and without fistula 33 cases (47 %) show 100 % continence.
The combination of male and female patients show 61 patients of 70 show 100 %continence in a percentage of 87 %.
The nine cases (12.
85 %) with recto bladder neck fistula show poor continence due to their bad sacral contour associated with the poor development of pelvic muscles sphincter.
This result was revealed from follow-up together with the presence of external sphincter muscle contraction which occurs during digital PR examination or by the use of surgical dilators.
Conclusion : From the study we found that this procedure gives high percentage of continence and should be used instead of other procedures.
American Psychological Association (APA)
Dawud, Nawfal S.& Yahya, Qutaybah. 2006. Posterior sagittal anorectoplasty (PSARP) : a new approach for treating anorectal malformations. Journal of the Faculty of Medicine Baghdad،Vol. 48, no. 4, pp.348-352.
https://search.emarefa.net/detail/BIM-349981
Modern Language Association (MLA)
Dawud, Nawfal S.& Yahya, Qutaybah. Posterior sagittal anorectoplasty (PSARP) : a new approach for treating anorectal malformations. Journal of the Faculty of Medicine Baghdad Vol. 48, no. 4 (2006), pp.348-352.
https://search.emarefa.net/detail/BIM-349981
American Medical Association (AMA)
Dawud, Nawfal S.& Yahya, Qutaybah. Posterior sagittal anorectoplasty (PSARP) : a new approach for treating anorectal malformations. Journal of the Faculty of Medicine Baghdad. 2006. Vol. 48, no. 4, pp.348-352.
https://search.emarefa.net/detail/BIM-349981
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 351-352
Record ID
BIM-349981