Abstract
The usual type of imperforate anus in the female baby can usually be repaired at six months of age by the perineal approach illustrated in this article. The usual type of imperforate anus in the male infant with a rectovesical fistula can be repaired at one to two days of age by an abdominoperineal pullthrough procedure. Both types of imperforate anus require special technic which is best accomplished by one experienced in these operations. Rapid transportation usually makes this possible. If delay is necessary in instances of the latter type, a transverse colostomy is much preferred to an inexperienced attempt at repair, as no amount of skill is likely to achieve good results with the second attempt.
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