Introduction: Anorectal malformations include a wide spectrum of congenital defects of the anus, anal canal and rectum, which are often combined with urogenital tract defects. They are often associated with congenital anomalies of other organ systems such as genitourinary, cardiovascular, digestive, skeletal, etc. Objectives: This study aimed to review the patients with anorectal malformations, diagnosis, different types of associated anomalies and their frequency, modalities of treatment, results of treatment and complications. Materials and Methods: Since 2010, we have performed a combined retrospective and prospective analysis of a total of 76 patients with anorectal malformations which were diagnosed and treated at our clinic between 2005 and 2014. Results: Of 76 patients with anorectal malformations, 48 were male (63.16%) and 28 female (36.84%). Anal stenosis was the commonest type (30.26%) followed by ARM without fistula (25.00%) and rectourethral fistula (18.42%). The most common associated anomalies were urogenital (49.12%), cardiovascular (21.05%), gastrointestinal (15.79%), and bone malformations (5.26%). 34 patients (44.74%) were treated primarily without colostomy. In 40 patients (52.63%) colostomy was performed after birth. PSARP was the procedure of choice in 76.92% of patients. 7 patients (9.21%) died in total. Constipation was present in 52.38% of all patients. Patients older than 3 years of age totally continent were 30.91%. Redo operations were performed in 5 patients (7.94%). Conclusion: Early diagnosis of anorectal malformations is very important. Some malformations such as anal stenosis are sometimes diagnosed beyond the neonatal age. Challenging problem still remains high percentage of children that suffer from fecal incontinence and constipation.
The incidence of infantile hemangioma is from 1.1, up to 2.6%. This incidence increases with 10.1% in each year of change of age. The ways of treatment vary with their advantages and disadvantages. Given the difficulty, to predict whether a lesion will be roughly progress or not, we have tried for the comparison in quantitative manner of treatment methodologies. In the study are included 32 children with hemangioma, in variable localization, to treat with various methods of treatment, in order partial or total regression. Are analyzed the results between localization and method of therapy, regression, complications associated with the provided demographic data (male, female and age). The link between partial and total regression for hemangioma under division in regions of the face, head and neck, in the amount p value, is 0.0001. Relationship between partial regression and age speaks for positive results, as the age reduces. Treatment of hemangioma is always in development options, in terms of interference with as most of the few surgical. Regression is most positive in the age of many more to be minor.
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