Single-Stage Surgical Correction of Anorectal Malformation Associated with Rectourinary Fistula in Male Neonates
Introduction: The treatment of children affected by anorectal malformations (ARM) is characterized by some unsolved problems. The three-stage surgical correction has been known to be most effective in preventing complications, but recently new approaches have been proposed. We describe our experienc...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Ernesto Leva [verfasserIn] Francesco Macchini [verfasserIn] Rossella Arnoldi [verfasserIn] Antonio Di Cesare [verfasserIn] Valerio Gentilino [verfasserIn] Monica Fumagalli [verfasserIn] Fabio Mosca [verfasserIn] Akbar Bhuiyan [verfasserIn] Maurizio Torricelli [verfasserIn] Tahmina Banu [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2013 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: Journal of Neonatal Surgery - EL-Med-Pub, 2020, 2(2013), 1, Seite 3-3 |
|---|---|
| Übergeordnetes Werk: |
volume:2 ; year:2013 ; number:1 ; pages:3-3 |
| Links: |
|---|
| DOI / URN: |
10.47338/jns.v2.15 |
|---|
| Katalog-ID: |
DOAJ074058517 |
|---|
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| 520 | |a Introduction: The treatment of children affected by anorectal malformations (ARM) is characterized by some unsolved problems. The three-stage surgical correction has been known to be most effective in preventing complications, but recently new approaches have been proposed. We describe our experience with the newer approaches. Methods: Twenty three male newborns, affected by ARM and recto-urinary fistula, were treated in 2 different centers in 8 years. Nineteen neonates (birth weight 2.4 - 3.5 kg) received a primary posterior sagittal anorectoplasty (PSARP) at the Department of Pediatric Surgery of the Chittagong Medical College Hospital (group 1). Four term neonates (birth weight 2.9 - 3.4 kg) received a primary pull-through with combined abdomino-perineal approach at the Pediatric Surgery Department of Fondazione Cà Granda of Milan (group 2). Results: Among patients of Group 1, 11 patients had a recto-bulbar fistula and 8 a recto-prostatic fistula. Among the Group 2, 2 had a recto-bulbar fistula and 2 a recto-prostatic fistula. The site of fistula was decided at the time of surgery. In Group 1, 5 post-surgical complications were recorded (26%); 1 child died of sepsis, 3 had dehiscence and 1 stenosis, which resolved with dilatation. In Group 2, the only post-operative complication of small rectal prolapse resolved spontaneously after a few months on follow-up. Group 2 patients were followed-up in a dedicated multidisciplinary colorectal center. Conclusions: Primary repair of ARMs with recto-urinary fistula is a feasible, safe and effective technique in the neonatal period. A combined abdominal and perineal approach seems to guarantee better results. A dedicated team is mandatory, both for the surgical correction and for a long-term follow-up. | ||
| 650 | 4 | |a anorectal malformation | |
| 650 | 4 | |a primary repair | |
| 650 | 4 | |a recto-urinary fistula | |
| 653 | 0 | |a Pediatrics | |
| 653 | 0 | |a Surgery | |
| 700 | 0 | |a Francesco Macchini |e verfasserin |4 aut | |
| 700 | 0 | |a Rossella Arnoldi |e verfasserin |4 aut | |
| 700 | 0 | |a Antonio Di Cesare |e verfasserin |4 aut | |
| 700 | 0 | |a Valerio Gentilino |e verfasserin |4 aut | |
| 700 | 0 | |a Monica Fumagalli |e verfasserin |4 aut | |
| 700 | 0 | |a Fabio Mosca |e verfasserin |4 aut | |
| 700 | 0 | |a Akbar Bhuiyan |e verfasserin |4 aut | |
| 700 | 0 | |a Maurizio Torricelli |e verfasserin |4 aut | |
| 700 | 0 | |a Tahmina Banu |e verfasserin |4 aut | |
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10.47338/jns.v2.15 doi (DE-627)DOAJ074058517 (DE-599)DOAJaa0fd870192b4f33bf1cc373f31f8ee6 DE-627 ger DE-627 rakwb eng RJ1-570 RD1-811 Ernesto Leva verfasserin aut Single-Stage Surgical Correction of Anorectal Malformation Associated with Rectourinary Fistula in Male Neonates 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The treatment of children affected by anorectal malformations (ARM) is characterized by some unsolved problems. The three-stage surgical correction has been known to be most effective in preventing complications, but recently new approaches have been proposed. We describe our experience with the newer approaches. Methods: Twenty three male newborns, affected by ARM and recto-urinary fistula, were treated in 2 different centers in 8 years. Nineteen neonates (birth weight 2.4 - 3.5 kg) received a primary posterior sagittal anorectoplasty (PSARP) at the Department of Pediatric Surgery of the Chittagong Medical College Hospital (group 1). Four term neonates (birth weight 2.9 - 3.4 kg) received a primary pull-through with combined abdomino-perineal approach at the Pediatric Surgery Department of Fondazione Cà Granda of Milan (group 2). Results: Among patients of Group 1, 11 patients had a recto-bulbar fistula and 8 a recto-prostatic fistula. Among the Group 2, 2 had a recto-bulbar fistula and 2 a recto-prostatic fistula. The site of fistula was decided at the time of surgery. In Group 1, 5 post-surgical complications were recorded (26%); 1 child died of sepsis, 3 had dehiscence and 1 stenosis, which resolved with dilatation. In Group 2, the only post-operative complication of small rectal prolapse resolved spontaneously after a few months on follow-up. Group 2 patients were followed-up in a dedicated multidisciplinary colorectal center. Conclusions: Primary repair of ARMs with recto-urinary fistula is a feasible, safe and effective technique in the neonatal period. A combined abdominal and perineal approach seems to guarantee better results. A dedicated team is mandatory, both for the surgical correction and for a long-term follow-up. anorectal malformation primary repair recto-urinary fistula Pediatrics Surgery Francesco Macchini verfasserin aut Rossella Arnoldi verfasserin aut Antonio Di Cesare verfasserin aut Valerio Gentilino verfasserin aut Monica Fumagalli verfasserin aut Fabio Mosca verfasserin aut Akbar Bhuiyan verfasserin aut Maurizio Torricelli verfasserin aut Tahmina Banu verfasserin aut In Journal of Neonatal Surgery EL-Med-Pub, 2020 2(2013), 1, Seite 3-3 (DE-627)1760607843 22260439 nnns volume:2 year:2013 number:1 pages:3-3 https://doi.org/10.47338/jns.v2.15 kostenfrei https://doaj.org/article/aa0fd870192b4f33bf1cc373f31f8ee6 kostenfrei https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/15 kostenfrei https://doaj.org/toc/2226-0439 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 2 2013 1 3-3 |
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10.47338/jns.v2.15 doi (DE-627)DOAJ074058517 (DE-599)DOAJaa0fd870192b4f33bf1cc373f31f8ee6 DE-627 ger DE-627 rakwb eng RJ1-570 RD1-811 Ernesto Leva verfasserin aut Single-Stage Surgical Correction of Anorectal Malformation Associated with Rectourinary Fistula in Male Neonates 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The treatment of children affected by anorectal malformations (ARM) is characterized by some unsolved problems. The three-stage surgical correction has been known to be most effective in preventing complications, but recently new approaches have been proposed. We describe our experience with the newer approaches. Methods: Twenty three male newborns, affected by ARM and recto-urinary fistula, were treated in 2 different centers in 8 years. Nineteen neonates (birth weight 2.4 - 3.5 kg) received a primary posterior sagittal anorectoplasty (PSARP) at the Department of Pediatric Surgery of the Chittagong Medical College Hospital (group 1). Four term neonates (birth weight 2.9 - 3.4 kg) received a primary pull-through with combined abdomino-perineal approach at the Pediatric Surgery Department of Fondazione Cà Granda of Milan (group 2). Results: Among patients of Group 1, 11 patients had a recto-bulbar fistula and 8 a recto-prostatic fistula. Among the Group 2, 2 had a recto-bulbar fistula and 2 a recto-prostatic fistula. The site of fistula was decided at the time of surgery. In Group 1, 5 post-surgical complications were recorded (26%); 1 child died of sepsis, 3 had dehiscence and 1 stenosis, which resolved with dilatation. In Group 2, the only post-operative complication of small rectal prolapse resolved spontaneously after a few months on follow-up. Group 2 patients were followed-up in a dedicated multidisciplinary colorectal center. Conclusions: Primary repair of ARMs with recto-urinary fistula is a feasible, safe and effective technique in the neonatal period. A combined abdominal and perineal approach seems to guarantee better results. A dedicated team is mandatory, both for the surgical correction and for a long-term follow-up. anorectal malformation primary repair recto-urinary fistula Pediatrics Surgery Francesco Macchini verfasserin aut Rossella Arnoldi verfasserin aut Antonio Di Cesare verfasserin aut Valerio Gentilino verfasserin aut Monica Fumagalli verfasserin aut Fabio Mosca verfasserin aut Akbar Bhuiyan verfasserin aut Maurizio Torricelli verfasserin aut Tahmina Banu verfasserin aut In Journal of Neonatal Surgery EL-Med-Pub, 2020 2(2013), 1, Seite 3-3 (DE-627)1760607843 22260439 nnns volume:2 year:2013 number:1 pages:3-3 https://doi.org/10.47338/jns.v2.15 kostenfrei https://doaj.org/article/aa0fd870192b4f33bf1cc373f31f8ee6 kostenfrei https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/15 kostenfrei https://doaj.org/toc/2226-0439 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 2 2013 1 3-3 |
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10.47338/jns.v2.15 doi (DE-627)DOAJ074058517 (DE-599)DOAJaa0fd870192b4f33bf1cc373f31f8ee6 DE-627 ger DE-627 rakwb eng RJ1-570 RD1-811 Ernesto Leva verfasserin aut Single-Stage Surgical Correction of Anorectal Malformation Associated with Rectourinary Fistula in Male Neonates 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The treatment of children affected by anorectal malformations (ARM) is characterized by some unsolved problems. The three-stage surgical correction has been known to be most effective in preventing complications, but recently new approaches have been proposed. We describe our experience with the newer approaches. Methods: Twenty three male newborns, affected by ARM and recto-urinary fistula, were treated in 2 different centers in 8 years. Nineteen neonates (birth weight 2.4 - 3.5 kg) received a primary posterior sagittal anorectoplasty (PSARP) at the Department of Pediatric Surgery of the Chittagong Medical College Hospital (group 1). Four term neonates (birth weight 2.9 - 3.4 kg) received a primary pull-through with combined abdomino-perineal approach at the Pediatric Surgery Department of Fondazione Cà Granda of Milan (group 2). Results: Among patients of Group 1, 11 patients had a recto-bulbar fistula and 8 a recto-prostatic fistula. Among the Group 2, 2 had a recto-bulbar fistula and 2 a recto-prostatic fistula. The site of fistula was decided at the time of surgery. In Group 1, 5 post-surgical complications were recorded (26%); 1 child died of sepsis, 3 had dehiscence and 1 stenosis, which resolved with dilatation. In Group 2, the only post-operative complication of small rectal prolapse resolved spontaneously after a few months on follow-up. Group 2 patients were followed-up in a dedicated multidisciplinary colorectal center. Conclusions: Primary repair of ARMs with recto-urinary fistula is a feasible, safe and effective technique in the neonatal period. A combined abdominal and perineal approach seems to guarantee better results. A dedicated team is mandatory, both for the surgical correction and for a long-term follow-up. anorectal malformation primary repair recto-urinary fistula Pediatrics Surgery Francesco Macchini verfasserin aut Rossella Arnoldi verfasserin aut Antonio Di Cesare verfasserin aut Valerio Gentilino verfasserin aut Monica Fumagalli verfasserin aut Fabio Mosca verfasserin aut Akbar Bhuiyan verfasserin aut Maurizio Torricelli verfasserin aut Tahmina Banu verfasserin aut In Journal of Neonatal Surgery EL-Med-Pub, 2020 2(2013), 1, Seite 3-3 (DE-627)1760607843 22260439 nnns volume:2 year:2013 number:1 pages:3-3 https://doi.org/10.47338/jns.v2.15 kostenfrei https://doaj.org/article/aa0fd870192b4f33bf1cc373f31f8ee6 kostenfrei https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/15 kostenfrei https://doaj.org/toc/2226-0439 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 2 2013 1 3-3 |
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10.47338/jns.v2.15 doi (DE-627)DOAJ074058517 (DE-599)DOAJaa0fd870192b4f33bf1cc373f31f8ee6 DE-627 ger DE-627 rakwb eng RJ1-570 RD1-811 Ernesto Leva verfasserin aut Single-Stage Surgical Correction of Anorectal Malformation Associated with Rectourinary Fistula in Male Neonates 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The treatment of children affected by anorectal malformations (ARM) is characterized by some unsolved problems. The three-stage surgical correction has been known to be most effective in preventing complications, but recently new approaches have been proposed. We describe our experience with the newer approaches. Methods: Twenty three male newborns, affected by ARM and recto-urinary fistula, were treated in 2 different centers in 8 years. Nineteen neonates (birth weight 2.4 - 3.5 kg) received a primary posterior sagittal anorectoplasty (PSARP) at the Department of Pediatric Surgery of the Chittagong Medical College Hospital (group 1). Four term neonates (birth weight 2.9 - 3.4 kg) received a primary pull-through with combined abdomino-perineal approach at the Pediatric Surgery Department of Fondazione Cà Granda of Milan (group 2). Results: Among patients of Group 1, 11 patients had a recto-bulbar fistula and 8 a recto-prostatic fistula. Among the Group 2, 2 had a recto-bulbar fistula and 2 a recto-prostatic fistula. The site of fistula was decided at the time of surgery. In Group 1, 5 post-surgical complications were recorded (26%); 1 child died of sepsis, 3 had dehiscence and 1 stenosis, which resolved with dilatation. In Group 2, the only post-operative complication of small rectal prolapse resolved spontaneously after a few months on follow-up. Group 2 patients were followed-up in a dedicated multidisciplinary colorectal center. Conclusions: Primary repair of ARMs with recto-urinary fistula is a feasible, safe and effective technique in the neonatal period. A combined abdominal and perineal approach seems to guarantee better results. A dedicated team is mandatory, both for the surgical correction and for a long-term follow-up. anorectal malformation primary repair recto-urinary fistula Pediatrics Surgery Francesco Macchini verfasserin aut Rossella Arnoldi verfasserin aut Antonio Di Cesare verfasserin aut Valerio Gentilino verfasserin aut Monica Fumagalli verfasserin aut Fabio Mosca verfasserin aut Akbar Bhuiyan verfasserin aut Maurizio Torricelli verfasserin aut Tahmina Banu verfasserin aut In Journal of Neonatal Surgery EL-Med-Pub, 2020 2(2013), 1, Seite 3-3 (DE-627)1760607843 22260439 nnns volume:2 year:2013 number:1 pages:3-3 https://doi.org/10.47338/jns.v2.15 kostenfrei https://doaj.org/article/aa0fd870192b4f33bf1cc373f31f8ee6 kostenfrei https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/15 kostenfrei https://doaj.org/toc/2226-0439 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 2 2013 1 3-3 |
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10.47338/jns.v2.15 doi (DE-627)DOAJ074058517 (DE-599)DOAJaa0fd870192b4f33bf1cc373f31f8ee6 DE-627 ger DE-627 rakwb eng RJ1-570 RD1-811 Ernesto Leva verfasserin aut Single-Stage Surgical Correction of Anorectal Malformation Associated with Rectourinary Fistula in Male Neonates 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The treatment of children affected by anorectal malformations (ARM) is characterized by some unsolved problems. The three-stage surgical correction has been known to be most effective in preventing complications, but recently new approaches have been proposed. We describe our experience with the newer approaches. Methods: Twenty three male newborns, affected by ARM and recto-urinary fistula, were treated in 2 different centers in 8 years. Nineteen neonates (birth weight 2.4 - 3.5 kg) received a primary posterior sagittal anorectoplasty (PSARP) at the Department of Pediatric Surgery of the Chittagong Medical College Hospital (group 1). Four term neonates (birth weight 2.9 - 3.4 kg) received a primary pull-through with combined abdomino-perineal approach at the Pediatric Surgery Department of Fondazione Cà Granda of Milan (group 2). Results: Among patients of Group 1, 11 patients had a recto-bulbar fistula and 8 a recto-prostatic fistula. Among the Group 2, 2 had a recto-bulbar fistula and 2 a recto-prostatic fistula. The site of fistula was decided at the time of surgery. In Group 1, 5 post-surgical complications were recorded (26%); 1 child died of sepsis, 3 had dehiscence and 1 stenosis, which resolved with dilatation. In Group 2, the only post-operative complication of small rectal prolapse resolved spontaneously after a few months on follow-up. Group 2 patients were followed-up in a dedicated multidisciplinary colorectal center. Conclusions: Primary repair of ARMs with recto-urinary fistula is a feasible, safe and effective technique in the neonatal period. A combined abdominal and perineal approach seems to guarantee better results. A dedicated team is mandatory, both for the surgical correction and for a long-term follow-up. anorectal malformation primary repair recto-urinary fistula Pediatrics Surgery Francesco Macchini verfasserin aut Rossella Arnoldi verfasserin aut Antonio Di Cesare verfasserin aut Valerio Gentilino verfasserin aut Monica Fumagalli verfasserin aut Fabio Mosca verfasserin aut Akbar Bhuiyan verfasserin aut Maurizio Torricelli verfasserin aut Tahmina Banu verfasserin aut In Journal of Neonatal Surgery EL-Med-Pub, 2020 2(2013), 1, Seite 3-3 (DE-627)1760607843 22260439 nnns volume:2 year:2013 number:1 pages:3-3 https://doi.org/10.47338/jns.v2.15 kostenfrei https://doaj.org/article/aa0fd870192b4f33bf1cc373f31f8ee6 kostenfrei https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/15 kostenfrei https://doaj.org/toc/2226-0439 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 2 2013 1 3-3 |
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The three-stage surgical correction has been known to be most effective in preventing complications, but recently new approaches have been proposed. We describe our experience with the newer approaches. Methods: Twenty three male newborns, affected by ARM and recto-urinary fistula, were treated in 2 different centers in 8 years. Nineteen neonates (birth weight 2.4 - 3.5 kg) received a primary posterior sagittal anorectoplasty (PSARP) at the Department of Pediatric Surgery of the Chittagong Medical College Hospital (group 1). Four term neonates (birth weight 2.9 - 3.4 kg) received a primary pull-through with combined abdomino-perineal approach at the Pediatric Surgery Department of Fondazione Cà Granda of Milan (group 2). Results: Among patients of Group 1, 11 patients had a recto-bulbar fistula and 8 a recto-prostatic fistula. Among the Group 2, 2 had a recto-bulbar fistula and 2 a recto-prostatic fistula. The site of fistula was decided at the time of surgery. In Group 1, 5 post-surgical complications were recorded (26%); 1 child died of sepsis, 3 had dehiscence and 1 stenosis, which resolved with dilatation. In Group 2, the only post-operative complication of small rectal prolapse resolved spontaneously after a few months on follow-up. Group 2 patients were followed-up in a dedicated multidisciplinary colorectal center. Conclusions: Primary repair of ARMs with recto-urinary fistula is a feasible, safe and effective technique in the neonatal period. A combined abdominal and perineal approach seems to guarantee better results. 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Single-Stage Surgical Correction of Anorectal Malformation Associated with Rectourinary Fistula in Male Neonates |
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Introduction: The treatment of children affected by anorectal malformations (ARM) is characterized by some unsolved problems. The three-stage surgical correction has been known to be most effective in preventing complications, but recently new approaches have been proposed. We describe our experience with the newer approaches. Methods: Twenty three male newborns, affected by ARM and recto-urinary fistula, were treated in 2 different centers in 8 years. Nineteen neonates (birth weight 2.4 - 3.5 kg) received a primary posterior sagittal anorectoplasty (PSARP) at the Department of Pediatric Surgery of the Chittagong Medical College Hospital (group 1). Four term neonates (birth weight 2.9 - 3.4 kg) received a primary pull-through with combined abdomino-perineal approach at the Pediatric Surgery Department of Fondazione Cà Granda of Milan (group 2). Results: Among patients of Group 1, 11 patients had a recto-bulbar fistula and 8 a recto-prostatic fistula. Among the Group 2, 2 had a recto-bulbar fistula and 2 a recto-prostatic fistula. The site of fistula was decided at the time of surgery. In Group 1, 5 post-surgical complications were recorded (26%); 1 child died of sepsis, 3 had dehiscence and 1 stenosis, which resolved with dilatation. In Group 2, the only post-operative complication of small rectal prolapse resolved spontaneously after a few months on follow-up. Group 2 patients were followed-up in a dedicated multidisciplinary colorectal center. Conclusions: Primary repair of ARMs with recto-urinary fistula is a feasible, safe and effective technique in the neonatal period. A combined abdominal and perineal approach seems to guarantee better results. A dedicated team is mandatory, both for the surgical correction and for a long-term follow-up. |
| abstractGer |
Introduction: The treatment of children affected by anorectal malformations (ARM) is characterized by some unsolved problems. The three-stage surgical correction has been known to be most effective in preventing complications, but recently new approaches have been proposed. We describe our experience with the newer approaches. Methods: Twenty three male newborns, affected by ARM and recto-urinary fistula, were treated in 2 different centers in 8 years. Nineteen neonates (birth weight 2.4 - 3.5 kg) received a primary posterior sagittal anorectoplasty (PSARP) at the Department of Pediatric Surgery of the Chittagong Medical College Hospital (group 1). Four term neonates (birth weight 2.9 - 3.4 kg) received a primary pull-through with combined abdomino-perineal approach at the Pediatric Surgery Department of Fondazione Cà Granda of Milan (group 2). Results: Among patients of Group 1, 11 patients had a recto-bulbar fistula and 8 a recto-prostatic fistula. Among the Group 2, 2 had a recto-bulbar fistula and 2 a recto-prostatic fistula. The site of fistula was decided at the time of surgery. In Group 1, 5 post-surgical complications were recorded (26%); 1 child died of sepsis, 3 had dehiscence and 1 stenosis, which resolved with dilatation. In Group 2, the only post-operative complication of small rectal prolapse resolved spontaneously after a few months on follow-up. Group 2 patients were followed-up in a dedicated multidisciplinary colorectal center. Conclusions: Primary repair of ARMs with recto-urinary fistula is a feasible, safe and effective technique in the neonatal period. A combined abdominal and perineal approach seems to guarantee better results. A dedicated team is mandatory, both for the surgical correction and for a long-term follow-up. |
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Introduction: The treatment of children affected by anorectal malformations (ARM) is characterized by some unsolved problems. The three-stage surgical correction has been known to be most effective in preventing complications, but recently new approaches have been proposed. We describe our experience with the newer approaches. Methods: Twenty three male newborns, affected by ARM and recto-urinary fistula, were treated in 2 different centers in 8 years. Nineteen neonates (birth weight 2.4 - 3.5 kg) received a primary posterior sagittal anorectoplasty (PSARP) at the Department of Pediatric Surgery of the Chittagong Medical College Hospital (group 1). Four term neonates (birth weight 2.9 - 3.4 kg) received a primary pull-through with combined abdomino-perineal approach at the Pediatric Surgery Department of Fondazione Cà Granda of Milan (group 2). Results: Among patients of Group 1, 11 patients had a recto-bulbar fistula and 8 a recto-prostatic fistula. Among the Group 2, 2 had a recto-bulbar fistula and 2 a recto-prostatic fistula. The site of fistula was decided at the time of surgery. In Group 1, 5 post-surgical complications were recorded (26%); 1 child died of sepsis, 3 had dehiscence and 1 stenosis, which resolved with dilatation. In Group 2, the only post-operative complication of small rectal prolapse resolved spontaneously after a few months on follow-up. Group 2 patients were followed-up in a dedicated multidisciplinary colorectal center. Conclusions: Primary repair of ARMs with recto-urinary fistula is a feasible, safe and effective technique in the neonatal period. A combined abdominal and perineal approach seems to guarantee better results. A dedicated team is mandatory, both for the surgical correction and for a long-term follow-up. |
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