MyMedR

Fulltext The importance of intraoperative evaluation in the management of anorectal atresia

Ramesh JC, Lu, Balasingh D, Qureshi A

Med J Malaysia, 2002 Sep;57(3):361-3.

We report a neonate with anorectal atresia in whom preoperative evaluation prior to definitive operation revealed a short gap atresia. However, bidigital evaluation at operation revealed a septal atresia that was easily perforated from below through the anus. Unnecessary division of the anorectal sphincter complex was thus avoided.

Matched MeSH terms: Rectum/abnormalities*

Comparing Consistency and Usability of Common Bowel Function Scoring Systems in Anorectal Malformation Patients

Shaari MK, Tan YW, Abdullah MY, Sharudin MF, Osman M, Teoh THQ, et al.

J Pediatr Surg, 2024 Apr;59(4):571-576.

PMID: 38160189 DOI: 10.1016/j.jpedsurg.2023.12.002

BACKGROUND: Assessment of postoperative bowel function in anorectal malformation (ARM) patients is crucial for benchmarking outcomes. We compared existing bowel function scoring systems in various aspects in patients with ARM.

METHODS: With ethical approval, this was a cross-sectional study involving 5 paediatric surgery referral centres in Malaysia, comparing the Kelly, Japanese Study Group of Anorectal Anomalies (JSGA), Holschneider and Krickenbeck bowel function questionnaires. We recruited patients aged 4-17 years, who had completed definitive surgery & stoma closure (where relevant) > 12 months prior to participation. We standardised outcomes of each scoring system into categories ('good', 'fair', 'poor' and 'very poor') to facilitate comparison. Parents & patients were surveyed and asked to rate the ease of understanding of each questionnaire. The difference in protocol scores rated between parents and patients were compared. Association of each bowel function scoring protocol with type of anomaly was assessed. Statistical significance was p

Matched MeSH terms: Rectum/abnormalities

Perineal hamartoma with accessory scrotum, anorectal anomaly, and hypospadias-a rare association with embryological significance: case report

Ramzisham AR, Thambidorai CR

Pediatr Surg Int, 2005 Jun;21(6):478-81.

PMID: 15902476

A rare case of a newborn male with a perineal hamartoma, accessory scrotum, anorectal anomaly, hypospadias, and bifid scrotum is reported, with discussion of its embryological significance. Only three other cases with such a combination of anomalies have been reported in the English literature.

Matched MeSH terms: Rectum/abnormalities*

The current practice of paediatric surgery in Malaysia

Somasundaram K

Aust N Z J Surg, 1978 Aug;48(4):356-9.

PMID: 282864

This 10-year review of surgical conditions in infants at the University Hospital, Kuala Lumpur, highlights some of the more common problems encountered and outlines their management. Anorectal agenesis and Hirschsprung's disease were seen relatively more frequently than other anomalies of the gastrointestinal tract. The management of these two conditions and the operation of colostomy and its complications are singled out and presented in some detail.

Matched MeSH terms: Rectum/abnormalities*

Duplication of the rectum: report of four cases and review of the literature

Rajah S, Ramanujam TM, Anas SR, Jayaram G, Baskaran P, Ganesan J, et al.

Pediatr Surg Int, 1998 Jul;13(5-6):373-6.

PMID: 9639621

Rectal duplications are rare anomalies. Recently, we observed four cases of rectal duplication, each presenting with different clinical features including chronic constipation, a prolapsing rectal "polyp, " a "growth" from the vulva, and acute retention of urine. The variety of clinical presentations may lead to delay in diagnosis and multiple operations.

Matched MeSH terms: Rectum/abnormalities*

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