Reoperative surgery verses conservative care after initial primary reconstruction failure in Anorectal malformation patients; diversion verses primary repair

U khan¹, ss ud din², a farooq², A hameed², m khan², h sardar³, İ ahmed², s khan², A khan²

¹Lady reading hospital/Farooq hospital Islamabad
²lady reading hospital
³Farooq Hospital Islamabad

Abstract

Anorectal malformations (ARMs) primary repair has been changed from traditional approaches to the perineum body sparring in female to the robotics reconstruction but still complications are inevitable. These patients including males and females present with slightly different symptoms and should be approached differently. Depending on the original malformation and severity of symptoms, redo surgery may be needed to optimize function and quality of life.

Surgical management with reoperative surgery in ARMs ranges from simple to complex, depending on the issue. There is Concern with the risks of reoperative surgery and potentially creating more scarring against the need for a better anatomical and functional outcome, however, chance should be given to these complex patients.

We have treated 43 patients in our center with complex presentation after the primary surgeries have been done for ARM. All patient have offer the reconstruction without stoma and observed satisfactory outcome in all cases.

Keywords: Anorectal malformation (ARM); redo surgery; reoperative.

U khan¹, ss ud din², a farooq², A hameed², m khan², h sardar³, İ ahmed², s khan², A khan²

¹Lady reading hospital/Farooq hospital Islamabad
²lady reading hospital
³Farooq Hospital Islamabad

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