General complications after surgery for anorectal malformations

Divarcı, Emre; Ergün, Orkan

doi:10.1007/s00383-020-04629-9

Cited by 34 publications

(42 citation statements)

References 93 publications

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“…. Согласно классификации A. Peña пороки подразделяются на свищевые и безсвищевые, аномалии развития аноректальной области разнятся у мальчиков (ректальные фистулы в мочевой пузырь, уретру) и девочек (сообщение с влагалищем, преддверием влагалища) [3]. По Крикенбекской классификации мальформации делятся на две группы -часто встречающиеся формы и редкие/региональные [4,5].…”

Section: а норектальные мальформации (арм) -врожденные пороки развития аноректальной области и тазового дна [1 2] арм (устаревшее названиunclassified

Pouch colon in children

Pimenova¹,

Korolev²,

Zagrebina³

2021

Medical news of the North Caucasus

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Pouch colon in children

Pimenova¹,

Korolev²,

Zagrebina³

2021

Medical news of the North Caucasus

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“…It is important for surgeons to realize that none of these procedures can eliminate the risk of this morbidity, since they only address the symptoms of prolapse without direct repair of the cause 52 . Therefore, recurrence is not that rare, and surgeons should provide this information to the families in advance 6 …”

Section: Surgical Outcomesmentioning

confidence: 99%

“…Constipation, the reported incidence of which is 10%‐73% after PSARP, is a common problem, and severe cases sometimes involve overflow incontinence 3‐5 . Among postoperative complications, anal stricture occurred in 14%‐38% of patients, 6 and was the leading cause of reoperation 7 …”

Section: Introductionmentioning

confidence: 99%

Laparoscopically assisted anorectoplasty—Surgical procedures and outcomes: A literature review

Ishimaru

Kawashima

Hayashi

et al. 2020

Asian J Endoscop Surgery

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Anorectal malformation includes various types of anomalies. The goal of definitive surgery is achievement of fecal continence. Twenty years have passed since laparoscopically assisted anorectoplasty (LAARP) was reported by Georgeson. Since LAARP is gaining popularity, its long‐term outcomes should be evaluated. Presently, there is no evidence regarding the optimal method of ligating and dividing the fistula correctly and creating the pull‐through canal accurately. Rectal prolapse and remnant of the original fistula (ROOF) tend to develop more often in LAARP patients than in posterior sagittal anorectoplasty (PSARP) patients; however, robust evidence is not available. Prolapse may be prevented by suture fixation of the rectum to the presacral fascia; however, if prolapse occurs, the indication, timing, and the best method for surgical correction remain unclear. Most patients with ROOF are asymptomatic, and there is controversy regarding the indications for ROOF resection. This article aimed to detail the various modifications of the LAARP procedures reported previously and to describe the surgical outcomes, particularly focusing on rectal prolapse, ROOF, and fecal continence, by reviewing the literature. Functional outcomes after LAARP were almost similar to those noted after PSARP, and we have demonstrated that LAARP is not inferior to PSARP with respect to fecal continence. Although there is controversy regarding the application of LAARP for recto‐bulbar cases, we believe that LAARP is still evolving, and we can achieve better outcomes by improving the procedure.

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“…Although functional stooling and voiding challenges are not uncommon, many "low-type" ARMs such as rectoperineal and rectovestibular fistulas achieve continence outcomes and report quality-of-life scores consistent with control patients at mid- (7,8) and longterm (9) time points. However, many are not so fortunate (10). Some common symptoms can be managed medically but these patients merit evaluation for potential benefit of reoperative intervention to optimize functional outcome.…”

Section: Introductionmentioning

confidence: 99%

Reoperative surgery in anorectal malformation patients

Tirrell¹,

McNamara²,

Dickie³

2021

Transl Gastroenterol Hepatol

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Currently accepted primary repair of congenital anorectal malformations (ARMs) includes a posterior sagittal incision, which allows for optimal visualization and identification of important pelvic structures and anatomical features. Reconstructive surgery involves meticulous dissection and separation of pelvic structures, and careful reconstruction can result in good functional outcomes for many patients, who live without ongoing sequelae from their malformation. However, some patients may require reoperative procedures for anatomic or functional reasons. Males and females present with slightly different symptoms and should be approached differently. Males are most likely to require reoperations for anorectal or urethral pathologies, but the urinary system is often spared in females-they instead must contend with Mullerian duct anomalies, of which there are many varieties. Depending on the original malformation and severity of symptoms, redo surgery may be needed to optimize function and quality of life. Surgical management with reoperative surgery in ARMs ranges from straightforward to complex, depending on the issue. One must weigh the risks of reoperative surgery and potentially creating more scarring against the need for a better anatomical and functional outcome. Current management trends and practice patterns with regards to reoperative surgery in ARM patients are not widely studied or standardized but we provide an overview of the more common pathologies, preoperative evaluation and workup required to identify the issues, and options for reoperative repair in these patients.

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General complications after surgery for anorectal malformations

Cited by 34 publications

References 93 publications

Pouch colon in children

Pouch colon in children

Laparoscopically assisted anorectoplasty—Surgical procedures and outcomes: A literature review

Reoperative surgery in anorectal malformation patients

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