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A standardized approach for the assessment and treatment of internationally adopted children with a previously repaired anorectal malformation (ARM)
- Source :
- Journal of pediatric surgery. 51(11)
- Publication Year :
- 2016
-
Abstract
- Introduction A significant number of internationally adopted children have congenital birth defects. As a specialist center for colorectal diagnoses, we evaluate such children with an anorectal malformation (ARM) and have found that a significant number need a reoperation. Knowledge of the common complications following ARM surgery has led us to develop treatment algorithms for patients with unknown past medical and surgical history, a situation typically encountered in the adopted population. Methods The results of investigations, indications, and rate of reoperation were assessed for adopted children with an ARM evaluated between 2014 and 2016. Results 56 patients (28 males) were identified. 76.8% required reoperative surgery. Mislocation of the anus outside the sphincter complex was seen in 50% of males and 39.3% of females. Anal stricture, rectal prolapse, retained vaginal septum, and a strictured vaginal introitus were also common. Conclusion The reoperative surgery rate in the internationally adopted child with an ARM is high. Complete, systematic evaluation of these children is required to identify complications following initial repair. Development of mechanisms to improve the primary surgical care these children receive is needed.
- Subjects :
- Diagnostic Imaging
Male
Reoperation
medicine.medical_specialty
Population
Rectum
Anal Canal
Introitus
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
Adoption
Medicine
Vaginal septum
Humans
Abnormalities, Multiple
education
Child
Digestive System Surgical Procedures
education.field_of_study
business.industry
Disease Management
Infant
General Medicine
Anal canal
medicine.disease
Anus
Anorectal Malformations
Surgery
Rectal prolapse
medicine.anatomical_structure
030220 oncology & carcinogenesis
Child, Preschool
Pediatrics, Perinatology and Child Health
Female
business
Anal stricture
Subjects
Details
- ISSN :
- 15315037
- Volume :
- 51
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Journal of pediatric surgery
- Accession number :
- edsair.doi.dedup.....a688cddb8e2f8e3d71d225f6d7d94bcb