Abdominoperineal posterior sagittal anorectoplasty without protective colostomy in high arm pouch colon surgery
DOI:
https://doi.org/10.3126/ajms.v14i6.52207Keywords:
High anorectal malformation; Without colostomy; Abdominoperineal posterior sagittal anorectoplastyAbstract
Background: In high anorectal malformations (ARM), surgical management includes initial colostomy at neonatal period followed by abdominoperineal posterior sagittal anorectoplasty (PSARP) without a protective colostomy.
Aims and Objectives: The aims of this study were as follows: (i) To evaluate whether 2 stage PSARP gives better outcome for high ARM than three stage and (ii) to assess overall stay duration, cost incurred, and complications associated with two stage PSARP.
Materials and Methods: A total 30 patients were studied. Fifteen patients with classical abdominoperineal PSARP with protective colostomy (three stages) constituting Group A studied retrospectively and 15 patients were studied in Group B who underwent neonatal colostomy followed by abdominoperineal PSARP without protective colostomy (Two stages). Comparative study was done between the two groups for a better choice of procedure in high ARM patients.
Results: In Group A, blood transfusion required was more than Group B. Mean expense incurred in Group A was more than Group B. Complications in Group A occur in eight patients, whereas in Group B, complications occurred in six patients.
Conclusion: Stages of high ARM and pouch colon are better alternative to three stages repair in all aspect.
Downloads
25
47
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Asian Journal of Medical Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
