Utilidad de colostomía o anoplastia en el manejo inicial del ano anterior

Abstract:

Background: Worldwide, ano-rectal malformations occur in one in every five thousand live births. The anterior anus (or perineal fistula) is the most frequent type. The decision to treat this pathology through anoplasty or three-stage colostomy lies in clinical discretion. At the moment, no local experience has been documented in Ecuador, mainly with respect to secondary adverse events of both procedures.Aim: Establish the usefulness of the three-stage colostomy vs. anoplasty in the initial management of the anterior anus - perineal fistula in terms of adverse events in an infant population. Methods: Observational, analytical, longitudinal prospective study, of prospective recovery, of the cohort type, to be carried out in infants cared for by the Pediatric Surgery service from the HRGE, between August 2016 and December 2020. Results: Sixty-three cases were recovered, of which 24 underwent three-stage colostomy and 39 through anoplasty, of which: 22/22 (91.7%) and 21/39 (53.8%; P = 0.0043), no post-dilatations were performed. surgical; 10/22 (41.7%) and 37/39 (94.9%) presented adverse events, respectively. Conclusion: The three-stage colostomy has fewer adverse events compared to anoplasty. In the present study, other factors associated with the development of adverse events were not distinguished. However, it is important to emphasize the significantly lower attendance at postsurgery dilations among those who underwent anoplasty. Keywords: Anoplasty; Anterior anus; Colostomy, Posterior sagittal anorectoplasty (source: MeSH)

Año de publicación:

2022

Keywords:

• Epidemiologia Analitica
• Epidemiologia Descriptiva
• ECUADOR
• CANTÓN GUAYAQUIL
• Hospital de Niños Dr. Roberto Gilbert Elizalde
• ANORRECTOPLASTIA SAGITAL
• ESTUDIOS RETROSPECTIVOS
• MALFORMACIONES ANORRECTALES
• Colostomia
• FISTULA RECTAL

Fuente:

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