“High” anorectal anomalies treated by early (neonatal) operation
Between 1973 and 1983, 18 patients with “high” anorectal anomalies were treated by one of the authors (N.V.F.) by immediate sigmoid loop-colostomy, followed by a sacroperineal or abdominosacroperineal pull-through operation as soon as possible thereafter. This was performed in seven patients between...
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| Veröffentlicht in: | Journal of pediatric surgery 1986-03, Vol.21 (3), p.218-220 |
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| container_title | Journal of pediatric surgery |
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| creator | Freeman, N.V. Bulut, M. |
| description | Between 1973 and 1983, 18 patients with “high” anorectal anomalies were treated by one of the authors (N.V.F.) by immediate sigmoid loop-colostomy, followed by a sacroperineal or abdominosacroperineal pull-through operation as soon as possible thereafter. This was performed in seven patients between 1 and 14 days, in seven patients between 15 and 40 days, and in four patients between 60 and 120 days. Daily anal dilatations were started 7 to 10 days postoperatively and continued until the anus was soft and supple. The colostomy was then closed, the aim being to complete all treatment by the age of 3 to 4 months. Continence was assessed using Kiesewetter's criteria. Results in 70% were “good”, 18% “fair”, and 12% “poor”. The clinical results are discussed together with the possible advantages of definitive surgery in the neonatal period for “high” anorectal anomalies. |
| doi_str_mv | 10.1016/S0022-3468(86)80837-5 |
| format | Article |
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This was performed in seven patients between 1 and 14 days, in seven patients between 15 and 40 days, and in four patients between 60 and 120 days. Daily anal dilatations were started 7 to 10 days postoperatively and continued until the anus was soft and supple. The colostomy was then closed, the aim being to complete all treatment by the age of 3 to 4 months. Continence was assessed using Kiesewetter's criteria. Results in 70% were “good”, 18% “fair”, and 12% “poor”. The clinical results are discussed together with the possible advantages of definitive surgery in the neonatal period for “high” anorectal anomalies.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/S0022-3468(86)80837-5</identifier><identifier>PMID: 3958883</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abnormalities, Multiple - surgery ; Anorectal anomalies ; Anus, Imperforate - surgery ; Colon, Sigmoid - surgery ; Colostomy - methods ; Fecal Incontinence - prevention & control ; Female ; Follow-Up Studies ; Humans ; Infant, Newborn ; Male ; Rectal Fistula - surgery ; Rectum - abnormalities ; Time Factors</subject><ispartof>Journal of pediatric surgery, 1986-03, Vol.21 (3), p.218-220</ispartof><rights>1986 Grune & Stratton, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-c75c519590f491dc6b2fbe1ccf49ec42e0c4b2b00b59db109a1437c2095125d63</citedby><cites>FETCH-LOGICAL-c360t-c75c519590f491dc6b2fbe1ccf49ec42e0c4b2b00b59db109a1437c2095125d63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022346886808375$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3958883$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Freeman, N.V.</creatorcontrib><creatorcontrib>Bulut, M.</creatorcontrib><title>“High” anorectal anomalies treated by early (neonatal) operation</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>Between 1973 and 1983, 18 patients with “high” anorectal anomalies were treated by one of the authors (N.V.F.) by immediate sigmoid loop-colostomy, followed by a sacroperineal or abdominosacroperineal pull-through operation as soon as possible thereafter. This was performed in seven patients between 1 and 14 days, in seven patients between 15 and 40 days, and in four patients between 60 and 120 days. Daily anal dilatations were started 7 to 10 days postoperatively and continued until the anus was soft and supple. The colostomy was then closed, the aim being to complete all treatment by the age of 3 to 4 months. Continence was assessed using Kiesewetter's criteria. Results in 70% were “good”, 18% “fair”, and 12% “poor”. The clinical results are discussed together with the possible advantages of definitive surgery in the neonatal period for “high” anorectal anomalies.</description><subject>Abnormalities, Multiple - surgery</subject><subject>Anorectal anomalies</subject><subject>Anus, Imperforate - surgery</subject><subject>Colon, Sigmoid - surgery</subject><subject>Colostomy - methods</subject><subject>Fecal Incontinence - prevention & control</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Rectal Fistula - surgery</subject><subject>Rectum - abnormalities</subject><subject>Time Factors</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtOwzAQhi0EKqVwhEpZoXYRGMex46wQKo8iVWIBrC3HmYBRmhQ7RequB4HL9SQkbdUtq3n98_oIGVK4okDF9QtAFIUsFnIkxViCZEnIj0ifckZDDiw5Jv2D5JScef8J0KaB9kiPpVxKyfrkbrP-mdr3j836N9BV7dA0uuy8uS4t-qBxqBvMg2wVoHblKhhVWFe6FY2DeoFON7auzslJoUuPF3s7IG8P96-TaTh7fnya3M5CwwQ0oUm44TTlKRRxSnMjsqjIkBrThmjiCMHEWZQBZDzNMwqppjFLTAQppxHPBRuQy93chau_lugbNbfeYFnq9qilV4lIBHCZtkK-ExpXe--wUAtn59qtFAXV0VNbeqpDo6RQW3qKt33D_YJlNsf80LXH1dZvdnVsv_y26JQ3FiuDue3Iqby2_2z4A9qNgDU</recordid><startdate>19860301</startdate><enddate>19860301</enddate><creator>Freeman, N.V.</creator><creator>Bulut, M.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19860301</creationdate><title>“High” anorectal anomalies treated by early (neonatal) operation</title><author>Freeman, N.V. ; Bulut, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-c75c519590f491dc6b2fbe1ccf49ec42e0c4b2b00b59db109a1437c2095125d63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Abnormalities, Multiple - surgery</topic><topic>Anorectal anomalies</topic><topic>Anus, Imperforate - surgery</topic><topic>Colon, Sigmoid - surgery</topic><topic>Colostomy - methods</topic><topic>Fecal Incontinence - prevention & control</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Rectal Fistula - surgery</topic><topic>Rectum - abnormalities</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Freeman, N.V.</creatorcontrib><creatorcontrib>Bulut, M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Freeman, N.V.</au><au>Bulut, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>“High” anorectal anomalies treated by early (neonatal) operation</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>1986-03-01</date><risdate>1986</risdate><volume>21</volume><issue>3</issue><spage>218</spage><epage>220</epage><pages>218-220</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>Between 1973 and 1983, 18 patients with “high” anorectal anomalies were treated by one of the authors (N.V.F.) by immediate sigmoid loop-colostomy, followed by a sacroperineal or abdominosacroperineal pull-through operation as soon as possible thereafter. 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| fulltext | fulltext |
| identifier | ISSN: 0022-3468 |
| ispartof | Journal of pediatric surgery, 1986-03, Vol.21 (3), p.218-220 |
| issn | 0022-3468 1531-5037 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Abnormalities, Multiple - surgery Anorectal anomalies Anus, Imperforate - surgery Colon, Sigmoid - surgery Colostomy - methods Fecal Incontinence - prevention & control Female Follow-Up Studies Humans Infant, Newborn Male Rectal Fistula - surgery Rectum - abnormalities Time Factors |
| title | “High” anorectal anomalies treated by early (neonatal) operation |
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