[Therapy of postoperative complications following abdominoperineal or abdominosacroperineal pull-through surgery in anal atresia].
In 144 pull-through-operations performed for anorectal-atresia, following complications were observed: pneumonia 11%, sepsis 8.3%, peritonitis 5%, bowel obstruction 5%, osteomyelitis 1%, retraction of the pulled-through colon 4%, anal stenosis 16%, secondary megacolon 9%, fistula relapse 8%, mucosal prolapse 4%. Recto-urethral, recto-vesical- and recto-vaginal fistula relapses are managed by interposition of the gracile muscle. Anal stenoses and secondary megacolon are prevented by a sufficiently long postoperative bougienage.
Kinderchirurgische Klinik, im Dr. von Hauner'schen Kinderspital, Universität München.
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WC
Hecker
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Ring-Mrozik
D001006:Anus, Imperforate / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010502:Perineum / Q000601:surgery; D011183:Postoperative Complications / Q000628:therapy*; D013530:Surgical Wound Infection / Q000628:therapy
Therapie postoperativer Komplikationen nach abdomino-perinealem oder abdomino-sacro-perinealem Durchzug bei Analatresien.