PROSPECTIVE STUDY TO COMPARE THE FUNCTIONAL AND COSMETIC OUTCOME OF NEUTRAL SAGITTAL ANORECTOPLASTY (NSARP) VERSUS ANTERIOR SAGITTAL ANORECTOPLASTY (ASARP) IN FEMALE INFANTS WITH VESTIBULAR FISTULA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 48
Abstract
BACKGROUND Imperforate anus with vestibular fistula is the most common form of anorectal malformation in females. In this anomaly, the development of the sphincteric muscle is usually normal and the fistula or the anus opens below the vaginal orifice in the vestibule near the posterior fourchette surrounded by moist mucous membrane rather than dry skin. The objectives of study were1. To assess the functional and cosmetic results of Neutral Sagittal Anorectoplasty and 2. To compare the outcome of Neutral Sagittal Anorectoplasty with Anterior Sagittal Anorectoplasty. MATERIALS AND METHODS This is a non-randomised controlled trial study carried out in the department of Paediatric Surgery of SVP Post Graduate Institute of Paediatrics, SCB Medical College, Cuttack, Odisha, over a period of two years from Nov 2010 to Oct 2012. Since study duration is short, we had to limit the sample size for convenience. 30 female infants between 3 months to 6 months of age with vestibular fistula, operated in the department were included in the study. Total 30 cases were taken for the study for convenience. This sample size was divided into two groups non-randomly and allocated to either Group A (n=15) or Group B (n=15) with 15 patients each. Group A Patients were subjected to Neutral Sagittal Anorectoplasty (NSARP) & Group B patients were subjected to Anterior Sagittal Anorectoplasty (ASARP). RESULTS NSARP has given better functional and cosmetic outcome than ASARP. The incision required is small. The perineal body remains untouched and a bridge of skin is left between the anterior part of the neoanus and vestibule. Constipation was more in ASARP group. Cosmetic results are better in NSARP group. CONCLUSION Functional and Cosmetic results are better in NSARP than ASARP.
Authors and Affiliations
Pramod Kumar Mohanty, Biswaranjan Mohapatra, Hiranya Kishor Mohanty, Pradeep Kumar Jena, Gadadhar Sarangi
Keywords
Related Articles
- EP ID EP548317
- DOI 10.14260/jemds/2018/1148
- Views 80
- Downloads 0
PREVALENCE OF CANDIDA AND SALIVARY FLOW RATES IN ORAL SUBMUCOSAL FIBROSIS PATIENTS
BACKGROUND Candida species belong to the normal microbiota of an individual’s mucosal oral cavity, gastrointestinal tract and vagina. The alteration in the homeostasis between Candida, host immune system and normal oral...
CLINICO-EPIDEMIOLOGICAL STUDY OF WARTS IN A TERTIARY CARE HOSPITAL
BACKGROUND Warts, which are also called as Verrucae are the commonest viral infections encountered in the dermatology practice. Warts are caused by Human Papilloma Virus (HPV). We wanted to study the clinical and epidemi...
RELAPSE OF THE BUG AT A DIFFERENT SITE- A CASE OF MULTIDRUG RESISTANT MELIOIDOSIS
PRESENTATION OF CASE A 60-year-old farmer who is diabetic for five years presented with pyrexia of unknown origin for one month. Fever was high grade associated with chills, dysuria and increased frequency of micturition...
MANAGING THE DREADED HELLP SYNDROME; CONVERTING LOSSES TO NEAR MISSES
BACKGROUND HELLP is a rare life-threatening obstetric syndrome. It is a multisystemic complication of preeclampsia occurring in 0.1 to 0.8% of all pregnancies and in 10% to 20% of those with severe preeclampsia/eclampsia...
A COMPARATIVE STUDY OF LABOUR INDUCTION WITH INTRAVAGINAL MISOPROSTOL VERSUS INTRAVENOUS OXYTOCIN IN TERM PRELABOUR RUPTURE OF MEMBRANES
BACKGROUND Management of Term Prelabour Rupture of Membranes (PROM) remains a matter of debate despite exhaustive research. Aims and Objectives- The objective of this study was to compare use of Tab. Misoprostol per vagi...