TITLE:
Anorectal Malformations Operated at University Hospital Brazzaville
AUTHORS:
Caryne Mboutol-Mandavo, Eustache Brani Dzipara, Jean-Claude Miéret, Irène Patricia Lucienne Ondima, Isnack Ngakosso-Ngalouo, Jean-Robert Mabiala-Babéla
KEYWORDS:
Anorectal Malformations, Anorectoperineoplasty, Child
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.10 No.2,
May
19,
2020
ABSTRACT: Aim: To appreciate the care of children operated for an anorectal malformation. Materials and methods: It was a retrospective study carried out from January
2014 to December 2018 (5 years) in the department of pediatric surgery of
university hospital of Brazzaville. Results: We retained 35 files including
20 boys and 15 girls. The mean age of discovery of the malformation was 1.7
days (range 0 and 4 days). On physical examination, we found intestinal
occlusion in 22 patients (62.9%): the absence of an anal opening (62.9%),
abdominal bloating with tympanism were the most represented signs. (57.1%).
There were 13 cases (37.1%) of anorectal malformations high, 12 cases (34.3%)
of low and 10 cases (28.6%) of intermediate. There were 20 cases (57.1%) of
anorectal malformations without fistula and 15 cases (42.9%) with fistula. The mean age at the time of the
anal plasty was 12.7 months (range 2 days and 14 years). We performed the
anorectoplasty according to the Peňa and De Vries technique in 26 cases
(74.3%), perineal anoplasty in 5 cases (14.3%) and a transposition of the
fistula in 4 cases (11.4%). Twenty-seven patients (77.1%) were reviewed with an
average follow-up of 2.7 years (1 year and 5 years extremes). The anus had a normal aspect in 20 cases (74.1%). We
evaluated anal continence according to the Krickenbeck criteria in 10 patients
aged over 3 years, and six had good results.