Abstract
Abstract Anorectal malformations are relatively common anomalies. They are usually recognized at birth and can cause life- threatening bowel obstruction. However, with appropriate surgi-cal intervention, the long-term prognosis is good. The historical treatment of anorectal malformations has been previously reviewed. There are a few references to anal atresia in the writings of ancient Egypt, Greece, and Rome, primarily suggesting rupturing an anal membrane with the finger. Paul of Aegina (A.D. 625–690), a Greek physician, gave the earliest account of surgical intervention for anal atresia. Following incision, dilation with bougies and application of wine and salve was recommended. Little more was written about this subject until the 17th century when Scultetus advocated anal dilation with gentian roots following the incision.
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