Health Condition 1: Q420- Congenital absence, atresia and stenosis of rectum with fistula
Conditions
Interventions
Intervention1: CT colostogram and 3D model fabrication: Dyna-CT images will be imported into a 3DSlicer (Brigham and Womenâ??s Hospital, Boston MA, USA) and the bladder, rectum, recto-urethral distal
Sponsors
AIIMS Delhi
Eligibility
Inclusion criteria
Inclusion criteria: Male patient with anorectal anomaly with colostomy done in neonatal period and waiting for a definitive repair in whom the pressure augmented colostogram does not reveal an obvious urethral communication with the terminal portion of bowel.
Exclusion criteria
Exclusion criteria: 1. Patients in whom a prior lower abdominal/pelvic surgery/urological has been done before. 2. Patients in whom a prior surgery in the perineum or exploration has been done before. 3. Patients having a concomitant cardiac anomaly severe enough to preclude administering sedation or anesthesia as decided by a consultant anesthetist. 4. Patients in whom urethral catheterization fails by a trained surgical resident with a minimum of 3 yearsâ?? experience after medical graduation (senior resident). 5. ARM associated with caudal regression syndrome (a disorder that impairs the development of the lower (caudal) half of the body. Affected areas can include the lower back, sacrum, pelvis, limbs, the genitourinary tract, and the gastrointestinal tract.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Accuracy of models-Agreement between caliper measurements on the 3D model and measurements on CT (Mean difference ±SD in mm)Timepoint: 4 weeks from Intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| Impact on the decision making on the surgical management of ARMTimepoint: 8 weeks from intervention;Surgeon Satisfaction survey questionnaireTimepoint: 10 weeks from Intervention | — |
Countries
India
Contacts
Public ContactANJAN KUMAR DHUA
AIIMS, Delhi
Outcome results
None listed