High type of imperforate anus. Abdominoperineal anorectoplasty (Nichidai Method) and its postoperative functional results.

primary posterior sagittal anorectoplasty without colostomy in neonates with high imperforate anus

the standard approach to management of high imperforate anus is colostomy in the newborn period followed by posterior saggital anorectoplasty (psarp) at 6 to 12 months of age. the purpose of this study was to determine whether a one-stage repair by primary psarp in the newborn period could be performed without clear determent to the patient’s functional result. totally 30 newborns with high imp...

Remarks on Imperforate Anus

Bombay Medical Service. I have read with interest the case of " imperforate anus" of a child four months old, published in the current issue of your journal by Surgeon-Major Ma the w, Civil Surgeon of Mozufferpore. It would seem that it is one of congenital malformation, that " this child is in capital condition, lively, and, as far as can be judged, in the enjoyment of perfect healththat " the...

Posterior sagittal anorectoplasty for failed imperforate anus surgery: lessons learned from secondary repairs.

PURPOSE The aim of this study was to evaluate secondary operations using a posterior sagittal approach in patients with fecal incontinence and impaction after primary repair of anorectal malformations. METHODS Twenty patients (14 boys, 6 girls) who had previous failed surgery for imperforate anus underwent secondary operations. The indications for surgery included fecal incontinence (n = 16) ...

A Case of Imperforate Anus

Imperforate Anus: Determination of Type Using Transperineal Ultrasonography

OBJECTIVE This study was designed to assess the usefulness of transperineal ultrasonography (US) for the determination of imperforate anus (IA) type. MATERIALS AND METHODS From January 2000 to December 2004, 46 of 193 patients with an IA underwent transperineal US prior to corrective surgery. Sonographic findings were reviewed to identify the presence of internal fistulas and to determine "di...