Outcomes of Outcomes of Anerior sagittal Ano-Rectoplasty in the Management of Rectoves Tibular Fistula at Two Referral Hospitals
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Date
2021-05
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Addis Abeba University
Abstract
Background
Over the years, a great deal of information has been acquired concerning the many variants of
ARM. The current mortality for these anomalies for the most part has been very low and is
related to associated anomalies and unfavourable chromosomal and genetic syndromes rather
than the result of treatment of the ARM per se.
In general, agreement has been reached regarding some embryologic and anatomic
considerations, diagnostic evaluation, and preoperative assessment. Most investigators would
agree that results are better following repair of low defects when compared to intermediate
and high anomalies and those with cloaca. There remain several areas of controversy
regarding the choice and timing of the procedure and methodology used to assess results.
Certain poor prognostic factors have been identified, including abnormal sacrum, deficient
pelvic innervation, poor perineal musculature and disorders of colonic motility.
Objectives
To investigate the overall outcome ASARP in the management of recto vestibular fistula in
Tikur Anebessa Hospital & Minilik Referral Hospital , Ethiopia from January 1, 2015 to
December 30, 2020
Methods
A cross-sectional study design with convenience sampling technique was used on 74 patients
who had ARM with RVF. Krickenbecks bowel function scoring system was used to assess
the bowel functions score. Patients cards, follow-up charts and direct phone contacts with
families were used to collect data from selected ARM patients who undergone ASARP in
the two of the referral Hospitals from January 1,2015 to December 30, 2020.
Result : In this study we do not found statistically significant associations between the type
of operations and the occurrence of Post-operative early wound complications or anal
stricture But the overall frequency of early post-operative complications more in two staged
ASARP (14.8%) and anal stenosis is observed in the Three staged ASARP group more
frequently (21%) . This study also found lower rates of screening for associated anomalies and higher rate of postoperative neo anal stricture (17.6%). Majority studied patient have an
excellent bowel function (96.2%).
Description
Keywords
Anorectal malformation, Anterior Sagittal Anorectoplasty, Recto-Vestibular Fistula