One-stage modified correction of intermediate and high imperforate anus in the newborn

Abstract

Objective The aim of this study was to examine the feasibility, safety, cost- effectiveness , and medium-term outcome of one-stage repair of intermediate and high imperforate anus in the newborn. Methods This is a retrospective review of forty eight consecutive newborns who underwent one-stage anorectoplasty during the newborn period at the children's hospital of Chongqing medical University between January 2006 and March 2010. Thirty one of 48 patients were followed-up for 2 months to 4 years 4 months, followed-up data on the retrospective analysis. Results Forty-five patients had excellent results. One case died of respiratory and circulatory failure, the other two suffered from part incision dehiscence. Twelve of Thirty-one of the 48 cases has been followed-up for 2 months to 4 years and 6 months. No fecal incontinence,fistula recurrence,urinary retention has been observed. 3 cases has had constipation, 4 patients has soiled his diapers between bowel movements, 2 cases has had rectal mucosa prolapse, 1 patient has had wound infection, 1 patient has had stricture of anus without dilating of the anus. 17 cases underwent Anorectal manometry,only 4 exist RAIR. Conclusions Complete 1-stage repair using the Pe(n)a to treat high-type and intermediate-type anorectal malformations can be offered the same results as the traditional Pe(n)a. Also.it is safe and feasible. Key words: Anorectal malformations; Rectum, abnormalities; One-stage Pe(n)a