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  1. Continence in patients who undergo posterior rectal flap anorectoplasty.

    Article - En anglais

    Purpose 

    The authors report the postoperative follow-up results of patients who underwent posterior rectal flap anorectoplasty (PRFA), with emphasis in fecal continence.

    Variables considered on each patient were sex, presence of fistula, location of the fistula, severity of the defect during the correction, sacral condition, dysraphism, and age at surgery.

    Methods 

    Continence was rated using the Pena method and defecogram.

    The authors studied 20 patients (17 boys and three girls).

    Results 

    Postoperatively, normal continence was found in 18 patients.

    Of the two remaining (boys), one had grade II spotting (sacrum agenesia and uretrobulbar fistula) and the other had grade II staining ; this patient had the most severe malformation requiring an abdominoperineal approach.

    All of the defecograms showed complete emptying of the rectum.

    No recurrent fistulas ocurred.

    Conclusions 

    The posterior rectal flap anorectoplasty is a new technique that takes into consideration all known factors that contribute to continence.

    This initial report confirms that this technique results in excellent continence for patients with imperforate anus.

    Mots-clés Pascal : Imperforation, Anus, Traitement, Abaissement chirurgical, Complication, Technique, Plastie, Anorectal, Incontinence anale, Etude longitudinale, Nourrisson, Homme, Enfant, Anorectale pathologie, Appareil digestif pathologie, Malformation, Intestin pathologie, Chirurgie correctrice

    Mots-clés Pascal anglais : Imperforation, Anus, Treatment, Pull through operation, Complication, Technique, Plasty, Anorectal, Anal incontinence, Follow up study, Infant, Human, Child, Anorectal disease, Digestive diseases, Malformation, Intestinal disease, Corrective surgery

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0092356

    Code Inist : 002B25G02. Création : 31/05/1999.