| Autor: |
S, Gardikis, S, Antypas, C, Mamoulakis, D, Demetriades, T, Dolatzas, A, Tsalkidis, A, Chatzimicael, A, Polychronidis, C, Simopoulos |
| Rok vydání: |
2004 |
| Předmět: |
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| Zdroj: |
Minerva pediatrica. 56(4) |
| ISSN: |
0026-4946 |
| Popis: |
The aim of this study was to evaluate the influence of colostomy type on morbidity during the treatment of anorectal malformations.Sixty-eight infants (male: female ratio 1.3:1) with anorectal malformations that required colostomy were treated in our clinics during the period 1991-2001. Of these patients, 26 had received a loop colostomy: 14 of these underwent posterior sagittal anorectoplasty (PSARP) at the age of 9-12 months (Group A), and 12 underwent PSARP at the age of 2-4 months (Group B). Forty-two infants received a separated-stomas colostomy and underwent PSARP at the age of 9-12 months (Group C). The incidence of complications among groups was compared using the 2 sided Fisher's exact test.Eight cases from group A were complicated with prolapse of the stomas, perianal wound infection, pull-through dehiscence, and anal fibrotic stricture. The only complication observed in groups B and C was perianal wound infection, which occurred in 1 case from each group. A statistically significant difference was observed in the incidence of complication between groups A and C (p0.001) and between groups A and B (p=0.014). The results from groups B and C did not differ significantly (p=0.398). When the cases complicated with colostomy prolapse were removed from the statistical analysis, groups A and C still differed significantly (p=0.001) but groups A and B did not (p=0.069).As the incidence of complications increases with time after a loop colostomy, we encourage either an early corrective procedure or the modification into separated-stomas colostomy (SSC) before PSARP is performed for those cases that would involve definitive surgery in late infancy. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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