TY - JOUR AU - Ceciliano Romero, Norma AU - Beauchamp Carvajal, Deborah AU - Chavez Fernández, Laura AU - Cortes Ojeda, Jaime PY - 2010/03/10 Y2 - 2024/03/28 TI - Analysis of 200 cases with Pediatric Anorectal Malformations: Versión traducida del artículo "Análisis de 200 casos pediátricos de malformaciones anorectales" DOI: https://doi.org/10.51481/amc.v52i2.644 JF - Acta Médica Costarricense JA - AMC VL - 52 IS - 2 SE - Originales DO - 10.51481/amc.v52i2.722 UR - http://actamedica.medicos.sa.cr/index.php/Acta_Medica/article/view/722 SP - 109-117 AB - <p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: ";Arial";,";sans-serif";; font-size: 10pt; mso-ansi-language: EN-US;" lang="EN-US">Aim: </span></strong><span style="line-height: 115%; font-family: ";Arial";,";sans-serif";; font-size: 10pt; mso-ansi-language: EN-US;" lang="EN-US">Anorectal malformations are a frequent pathology in the general surgery service at the National Children´s Hospital, however, in Costa Rica, there have been few publications about this topic.<span style="mso-spacerun: yes;">  </span>The objective of this work is to analyze patients that were operated between 1998 and 2008, to know in detail the treatments used and to determine what has the experience been, this is of extreme importance, according to the findings, to process suggestions to make improvements.</span></p><p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 0pt;"><span style="line-height: 115%; font-family: ";Arial";,";sans-serif";; font-size: 10pt; mso-ansi-language: EN-US;" lang="EN-US"> </span></p><p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 10pt;"><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: ";Arial";,";sans-serif";; font-size: 10pt; mso-ansi-language: EN-US;" lang="EN-US">Methods:<span style="mso-spacerun: yes;">  </span></span></strong><span style="line-height: 115%; font-family: ";Arial";,";sans-serif";; font-size: 10pt; mso-ansi-language: EN-US;" lang="EN-US">Clinical files were reviewed and all the patients with anorectal malformations operated between 1990 and 2008 were examined, controlled at the outpatient service of General Surgery at the National Children´s Hospital.<span style="mso-spacerun: yes;">  </span>The patients were grouped according to their type of anomaly and were examined to determine: congenital malformations, type of anorectal malformations, type of surgery, complications and results from the following tests: abdominal ultrasound, voiding cystourethrography, distal colography and its functional results, after three years of age.<span style="mso-spacerun: yes;">  </span>The patient´s data were placed in a data base under the Excel program to be able to analyze them and have a clear vision of the procedures utilized with each group and the results obtained.</span></p><p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 10pt;"><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: ";Arial";,";sans-serif";; font-size: 10pt; mso-ansi-language: EN-US;" lang="EN-US">Results: </span></strong><span style="line-height: 115%; font-family: ";Arial";,";sans-serif";; font-size: 10pt; mso-ansi-language: EN-US;" lang="EN-US">200 cases operated between 1998 and 2008 were controlled; all were studied for congenital malformations and anal malformations.<span style="mso-spacerun: yes;">  </span>Different groups were found which were classified the following manner: those who had fistulas which were subdivided by the location of the opening: bladder neck (12 cases), prostatic urethra (12 cases), bulbar urethra (18 cases), vestibular (26 cases), perineum (92 cases), anal stenosis (12 cases); those who had no fistula: high (16 cases) or low (3 cases), and finally, cloacal malformations: high (2 cases), and low (7 cases).<span style="mso-spacerun: yes;">  </span>All the patients underwent surgery using the Peña 11 technique with the corresponding modifications.<span style="mso-spacerun: yes;">  </span>No patient was intervened utilizing laparoscopic technique.</span></p><p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 10pt;"><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: ";Arial";,";sans-serif";; font-size: 10pt; mso-ansi-language: EN-US;" lang="EN-US">Conclusion: </span></strong><span style="line-height: 115%; font-family: ";Arial";,";sans-serif";; font-size: 10pt; mso-ansi-language: EN-US;" lang="EN-US">These patients are very complex and must be analyzed as a whole since their malformations are very important in the results and morbid-mortality.<span style="mso-spacerun: yes;">  </span>In most cases good results were obtained.<span style="mso-spacerun: yes;">  </span>The important aspect is to control them for a long period of time and use the procedures necessary to allow a normal life style, which is possible.</span></p> ER -