How do you manage anorectal malformation?

Doctors treat anorectal malformations with surgery. The type of surgery depends on the location and type of malformation. Doctors often perform surgery in the first few days after the baby is born. In some cases, doctors can repair the anorectal malformation with one operation.

Which type of primary repair is required for anorectal malformation?

Laparoscopy can help reduce pain, healing time and the risk of infection. It is the preferred method of surgery for repairing anorectal malformations and Hirschsprung disease.

Can anorectal malformation be cured?

Most babies with this problem will need surgery to correct it. Depending on the type of malformation, your child may have good control of bowel movements after the problem is repaired. If your child can’t control his or her bowel movements, a bowel management program can be very helpful.

What type of colostomy is used for the management of anorectal malformation in a neonate?

A high divided sigmoid colostomy has been recommended for staged management of high anorectal malformation. We audited our cases of neonatal colostomy for high anorectal malformation to assess its effectiveness.

When should Anoplasty be done?

When loss of anoderm has been significant and the stricture is severe, anoplasty is required. One of several flap-type procedures may be used, depending on the severity of the stricture and the resultant deformity after excision of the scar tissue.

What is Psarp procedure?

Posterior sagittal anorectoplasty (PSARP) is a surgical technique used by our surgeons to correct a variety of anorectal and cloacal malformations.

What is Sphincterotomy procedure?

Overview. A lateral internal sphincterotomy is a simple surgery during which the sphincter is cut or stretched. The sphincter is the circular group of muscles surrounding the anus that are responsible for controlling bowel movements.

How is anorectal malformation diagnosed?

Anorectal malformations are most often diagnosed just after birth during the first exam. Often the doctor notices that the child’s anus is not present or is in the wrong place. Some children are diagnosed during a prenatal ultrasound.

What are the signs of anorectal malformation?

What are the symptoms of an anorectal malformation?

  • If the anal passage is narrow, your baby may have a difficult time passing a stool, causing constipation and possibly discomfort.
  • If there is a membrane over the anal opening, your baby may be unable to have a bowel movement.

How do you give an enema with a colostomy?

We use a well lubricated Foley catheter (14—16-Fr) for delivering phosphate enema through the colostomy to cleanse constipated colon. The tip of the catheter is passed beyond the parietal wall into the colon, under the guidance of little finger through the stoma (Fig. 1). The balloon is inflated below the fingertip.

What is the procedure for a colostomy?

During an end colostomy, the end of the colon is brought through the abdominal wall, where it may be turned under, like a cuff. The edges of the colon are then stitched to the skin of the abdominal wall to form an opening called a stoma. Stool drains from the stoma into a bag or pouch attached to the abdomen.

Why do you need a Anoplasty?

Anoplasty involves reconstruction of the anus and is most often performed to correct anal stenosis, which is a narrowing of the anal canal that causes painful bowel movements.