[Pickrell intervention in children for anal incontinence secondary to anorectal malformation].
OBJECTIVE
The aim of this study was to report the results of unilateral Pickrell procedure in children with fecal incontinence secondary to anal atresia.


METHODS
Twenty three children were operated between 1975 and 1997. The mean age at the time of the operation was 8.5 years. Functional results were systematically evaluated by Kelly's clinical score and by anal sphincter electromyography and anal manometry for some patients.


RESULTS
There was no postoperative mortality. One colostomy was performed for recurrent local sepsis. The functional result with a mean follow-up of 6 years was estimated to be good in 25%, intermediate in 45% and poor in 30%. Clinical improvement of continence was obtained in 70% of cases.


CONCLUSIONS
The improvement of continence after Pickrell procedure essentially depends on the patient selection criteria, pre- and postoperative rehabilitation and regular enemas. In the case of poor results, the authors propose bilateral Pickrell procedure which improved the results in eight out of nine children in this group.
Kotobi
H
H
Service de chirurgie viscérale infantile, hôpital d'enfants Armand-Trousseau, 26, avenue du Docteur-Arnold-Netter, 75571 Paris, France.
Forin
V
V
Larroquet
M
M
Khairouni
A
A
Loc'h
P
P
Grapin
C
C
Audry
G
G
D000293:Adolescent; D001003:Anal Canal / Q000002:abnormalities* / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D013505:Digestive System Surgical Procedures / Q000379:methods; D004576:Electromyography; D005242:Fecal Incontinence / Q000209:etiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008365:Manometry
Intervention de Pickrell chez l'enfant pour incontinence anale secondaire à une malformation anorectale.