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Anorectal malformations are birth defects, where, the anus and rectum (the lower end of the digestive tract) do not develop properly. This results in an absent anal opening or variants of same.
Anorectal anomalies are classified into numerous forms, including:
Anorectal abnormalities in neonates usually characterised by:
The treatment for ANORECTAL MALFORMATION can be single or multi staged based on the severity of disease. In minor conditions called as LOW ANORECTAL MALFORMATIONS, a single procedure termed ANOPLASTY suffices. In INTERMEDIATE VARIETIES OF ANORECTAL MALFORMATIONS ,in uncomplicated situations, a surgery called PRIMARY POSTERIOR SAGGITAL ANORECTOPLASTY(PSARP) In HIGH ANOMALIES, a staged procedure is used.
First Stage : COLOSTOMY
Second Stage : POSTERIOR SAGGITAL ANORECTOPLASTY(PSARP)
Third Stage : COLOSTOMY CLOSURE
In this surgery the large intestine is temporarily brought out through a lower abdominal incision. The pediatric surgeon teaches mother regarding care of the colostomy.
ANORECTAL RECONSTRUCTIVE SURGERY, also known as posterior sagittal anorectoplasty (PSARP), is done to connect the rectum to the anal hole and cover any aberrant openings that may interfere with the ability to have a regular bowel movement. In cases where there is an absence of an anal opening, your surgeon will create a new one. The majority of PSARP treatments are done on babies aged one to six months. The kind of PSARP done will be determined by the location of the rectum and anus (low or high), the function of the sphincter muscles, and the presence of any aberrant holes (called fistulas) that need to be fixed.
Your child’s colostomy will remain in place for approximately eight weeks following the reconstructive surgery to allow the rectum and anal opening to heal before coming in contact with any waste. The colostomy will be medically closed when your child is ready and totally recovered. Within a few days, they will be able to pass stools on their own via the anus. Initially, stools will be loose and frequent. Safe topical remedies should be used to protect your child’s skin against diaper rash and discomfort. Your child’s stools will normalize as they recover, becoming firmer and less frequent.
At Sukriti Clinic we believe that quality and customer satisfaction are crucial in any medical practice, including plastic and pediatric surgery clinics. We focus on providing personalized care tailored to each patient's needs. This involves clear communication, empathy, and involving patients in decision-making processes regarding their treatments. We emphasis on: