A STUDY ON DIAGNOSTIC MODALITIES, MANAGEMENT AND OUTCOME OF ANORECTAL MALFORMATIONS
Chinky Garg, Pritanshi Singh- Linguistics and Language
- Language and Linguistics
- Electrical and Electronic Engineering
- Instrumentation
AIM & OBJECTIVES - Anorectal malformation (ARM) is a common congenital condition that has a signicant impact on the quality of life for children. It is more frequently observed in females. The primary posterior sagittal anorectoplasty (PSARP) procedure has shown excellent outcomes, particularly for males with intermediate and high ARM, as well as females with vestibular stula. The objective of the study was to identify the specic type of ARM and associated anomalies in female patients. This observational study was carried out at the Depart METHODS- ment of Surgery, Index Medical College and Hospital, involving patients with ARM between November 2019 and October 2021. The initial procedure involved performing colostomy, followed by PSARP/ anterior sagittal anorectoplasty technique (ASARP) as a second-stage procedure, and subsequently closing the colostomy. Patients were typically discharged between the 4th and 6th postoperative days and followed up with regular anal dilatation and assessments every six months. RESULTS- The present study ndings indicate that the most common defect observed in females with ARM is the rectovestibular stula. Evaluation of surgical outcomes can be performed following the completion of the nal procedure, namely colostomy closure. Among the patients assessed, approximately 83.3% demonstrated favorable post-operative outcomes. Females CONCLUSION- have a higher incidence of intermediate ARM compared to other varieties. Low anomalies generally exhibit more favorable outcomes following surgery than other types. The utilization of the PSARP approach in treating patients with these conditions provides a more precise correction of the lesion.