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Anorectal Malformations Operated at University Hospital Brazzaville

Open Journal of Pediatrics 2020年第2期10卷 263-273页

作者： Caryne Mboutol-Mandavo eustache brani dzipara Jean-Claude Miéret Irène Patricia Lucienne Ondima Isnack Ngakosso-Ngalouo Jean-Robert Mabiala-Babéla Faculty of Health Sciences Marien Ngouabi University Brazzaville Congo Department of Pediatric Surgery University Hospital of Brazzaville Brazzaville Congo Department of Pediatric Infants University Hospital of Brazzaville Brazzaville Congo

Aim: To appreciate the care of children operated for an anorectal malformation. Materials and methods: It was a retrospective study carried out from January 2014 to December 2018 (5 years) in the department of pediatric surgery of university hospital of Brazzaville. Results: We retained 35 files including 20 boys and 15 girls. The mean age of discovery of the malformation was 1.7 days (range 0 and 4 days). On physical examination, we found intestinal occlusion in 22 patients (62.9%): the absence of an anal opening (62.9%), abdominal bloating with tympanism were the most represented signs. (57.1%). There were 13 cases (37.1%) of anorectal malformations high, 12 cases (34.3%) of low and 10 cases (28.6%) of intermediate. There were 20 cases (57.1%) of anorectal malformations without fistula and 15 cases (42.9%) with fistula. The mean age at the time of the anal plasty was 12.7 months (range 2 days and 14 years). We performed the anorectoplasty according to the Peňa and De Vries technique in 26 cases (74.3%), perineal anoplasty in 5 cases (14.3%) and a transposition of the fistula in 4 cases (11.4%). Twenty-seven patients (77.1%) were reviewed with an average follow-up of 2.7 years (1 year and 5 years extremes). The anus had a normal aspect in 20 cases (74.1%). We evaluated anal continence according to the Krickenbeck criteria in 10 patients aged over 3 years, and six had good results.

关键词： Anorectal Malformations Anorectoperineoplasty Child

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