[The reconstruction of rectal atresia. Diagnostics, therapy and prognosis of anorectal malformations].
The reconstruction of rectal atresia. Diagnostics, therapy and prognosis of anorectal malformations. The reconstructive operations of anorectal malformations are aimed on the establishment of anatomical correct position of the anus and the elimination of existing urethral or cutaneous fistulas resulting in a regular fecal continence. The favourite surgical method of operation is the posterior sagittal approach by Pena, in high-type anorectal malformations the endorectal pull-through by Rehbein can also be recommended. The assessment of fecal continence of the low-type forms is satisfactory good compared to high-type. It mainly depends on the localisation of these defects and on the experience of the surgeon. With the exception of not accurate placement of the neorectum respectively neoanus secondary surgical intervention to improve the fecal continence should be used only after applying all conservative methods, like perineal gymnastics, electrostimulation and biofeedback training.
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Klinik und Poliklinik für Kinderchirurgie, Universitätsklinikum Carl Gustav Carus der TU Dresden, Germany. Kinderchirurgie@mailbox.tu-dresden.de
D000293:Adolescent; D000367:Age Factors; D001003:Anal Canal / Q000002:abnormalities* / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003125:Colostomy; D005242:Fecal Incontinence / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011379:Prognosis; D019651:Plastic Surgery Procedures; D012007:Rectum / Q000002:abnormalities* / Q000601:surgery*; D012737:Sex Factors; D013997:Time Factors