High anorectal atresia - surgical treatment through a sacro-coccygeal-perineal approach.
10 infants with high anorectal atresia had a primary colostomy and later a definitive pull-through operation was performed. This was accomplished through a sacro-coccygeal approach and enabled easy and precise identification of the pubo-rectalis sling of the levator ani muscle. Placement of the rectum inside this sling is the most important factor in achieving post-operative faecal continence in these infants. A follow-up period of 4--10 years showed good bowel control in 9 patients, although occasional slight soiling occurs.
D001003:Anal Canal / Q000002:abnormalities*; D003125:Colostomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000601:surgery*; D008297:Male; D010502:Perineum; D012007:Rectum / Q000002:abnormalities*; D012445:Sacrococcygeal Region