Anorectal malformations are birth deformities in which the anus is absent or deformed. It affects both males and females and has a prevalence of one in 5000 live births. ARM is a combination of disorders, including simple issues like anal stenosis and fistulas in the perineum, which are grouped as low variety malformations, to very complex anomalies, which include persistent cloaca and recto-vesical fistulas, which require multistage procedures for correction. Recto vestibular fistula is the mos
Conditions
Interventions
To keep the intestine as empty as possible, the patient is kept on a liquid or low-residue diet for one week prior to surgery. The lithotomy position of the patient is made before the operation begins
s reaction, indicating the direction in which muscle fibers flow. The superficial external sphincter muscle first becomes visible. Then a deep portion of the external sphincter showed up. This deep sp
Active Comparator Procedure/Surgery,Active Comparator Procedure/Surgery
Anterior sagittal anorectoplasty,Posterior sagittal anorectoplasty
Sponsors
Self
Eligibility
Sex/Gender
Female
Age
6 Months to 14 Years
Inclusion criteria
Inclusion criteria: 1. All-female patients with rectovestibular fistula, aged between 6 months and 14 years 2. Weight 5 kg and above 3. Confirmed diagnosis of rectovestibular fistula 4. All patients with rectovestibular fistula having colostomy formed previously for staged repair.
Exclusion criteria
Exclusion criteria: 1. Anovestibular fistulas will be excluded 2. Associated major congenital anomalies, including Impeforate anus without fistula, absent vaginal opening, urogenital sinus (common cloaca) 3. Poor general conditions, like malnutrition and anemia 4. A previous trial of repair elsewere 5. Lost to follow up 6. Change in the treatment plan 7. Expiry before surgery due to some other disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Procedural injuries including vaginal wall tear and rectal wall injury At the time of operation Injury of any size,Anal Stenosis 2 weeks after operation Dilator size,Mucosal Prolapse After operation Visual assessment,Sphincter contractions all around After Operation TENS- visual method | — |
Secondary
| Measure | Time frame |
|---|---|
| Operative time From start of 1st incision Analogue timer,Wound Infection After operation SSI | — |
Countries
Pakistan
Contacts
Public ContactHassan Mahmud
University of Child Health Sciences, Lahore
Outcome results
None listed