How is Anoplasty performed?

Anoplasty is performed by placing the rectum within the limits of the external sphincter with the use of interrupted long-term absorbable sutures.

What are the signs and symptoms of imperforate anus?

Signs and symptoms of imperforate anus include:

• The opening to the anus is missing or not in the usual place. In girls, it may be near the vagina.
• No passage of poop within a day or 2 of birth.
• Passing poop through another opening, like the urethra in boys or vagina in girls.
• Swollen belly.

What is associated with imperforate anus?

Imperforate anus is a rare inborn abnormality characterized by the absence or abnormal localization of the anus. The rectum or the colon may be connected to the vagina or the bladder by a tunnel (fistula). With surgical correction, normal elimination can become possible.

What is the most common type of imperforate anus in females?

In females, the most common defect is a rectovestibular fistula. Congenital absence of a fistula is rare, seen in only 5% of all cases. In families with a newborn with an imperforate anus, the risk of having a second child with this affliction is approximately 1%.

Why is Anoplasty needed?

Anoplasty involves reconstruction of the anus and is most often performed to correct anal stenosis, which is a narrowing of the anal canal that causes painful bowel movements.

What is Anoplasty for?

Surgery involves closing any small tube-like openings (fistulas), creating an anal opening, and putting the rectal pouch into the anal opening. This is called an anoplasty. The child must often take stool softeners for weeks to months.

Can imperforate anus be fixed?

To treat imperforate anus, surgery will be performed to create an opening, or new anus, to allow stool to pass. The surgery may differ, depending on whether the anus ends high or low in the pelvis.

Is imperforate anus an emergency?

In this condition, little or no feces can leave your child’s anus. This is a serious problem because waste products will keep building up in your child’s body. There are different types of imperforate anus. Your child can have an anus that’s missing, very narrow, or blocked by a thin membrane.

Is imperforate anus life threatening?

Anorectal and urogenital malformations are rarely fatal, although some associated anomalies (cardiac, renal) can be life threatening. Intestinal perforation or postoperative septic complications in a newborn with imperforate anus can result in mortality or severe morbidity.

How do you test for imperforate anus?

A doctor can usually diagnose an imperforate anus by performing a physical exam after birth. An X-ray of the abdomen and abdominal ultrasound can help reveal the extent of the abnormalities. After diagnosing imperforate anus, your baby’s doctor should also test for other abnormalities associated with this condition.

How painful is a Sphincterotomy?

Fissure surgery or sphincterotomy is less painful than the fissure itself. This surgery causes mild pain and reduces pain and pressure resulting from fissures. Some of the complications of sphincterotomy involve: Temporary inability to control gas.

How do you fix an imperforate anus?

How is the anoplasty of the rectum performed?

Anoplasty is performed by placing the rectum within the limits of the external sphincter with the use of interrupted long-term absorbable sutures. Alberto Peña, Marc A. Levitt, in Pediatric Gastrointestinal and Liver Disease (Fourth Edition), 2011 An anoplasty is an operation performed with the patient in prone position and the pelvis elevated.

Which is a low type of anorectoplasty?

These are classified as low or high type. In the low type, in which the rectum remains close to the skin, there may be associated stenosis of the anus, or the anus may be missing altogether, with the rectum ending in a blind pouch.

What happens at the end of an anoplasty?

During the anoplasty, the rectum should be under slight tension so that, at the end of the operation, no mucosa is visible.16 After an anoplasty, a dehiscence of the repair can be superficial or deep. A superficial breakdown is usually secondary to infection.

What kind of anesthesia do you need for anoplasty?

Supplemental support systems for the difficult airway (e.g., neonatal bronchoscopes, light wand, and LMA) should be available (see Chapter 10, Equipment ). Anesthesia during the surgery can include potent inhalation anesthetics, narcotics, or both. In general, nitrous oxide is avoided because of the risk for increasing bowel distention.