Mo Youlian,Hu Xiaohua,Yang Liucheng,et al.Clinical efficacies of posterior sagittal sacroperineal anoplasty (Pena surgery) on children of different ages with intermediate and highorder position congenital anal atresia.[J].Journal of Clinical Pediatric Surgery,,17():600-606.
Click Copy

Clinical efficacies of posterior sagittal sacroperineal anoplasty (Pena surgery) on children of different ages with intermediate and highorder position congenital anal atresia.

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第17卷 Number: 2018 08 Page: 600-606 Column: 论著 Date of publication: 2018-08-28
Author(s):
Mo Youlian1; Hu Xiaohua1; Yang Liucheng2; Zhong Chen1; Feng Dajun1; Zhang Pingfeng1; Su Jiahong1; Zhang Jiade1.
1.Department of Pediatric Surgery,Affiliated BoAi Hospital,Southern Medical University,Zhongshan 528400,China.
Keywords:
Anus; Imperforate;  Surgical Procedures;  Operative;  Treatment Outcome
Document code:
A
Abstract:
ObjectiveTo evaluate the clinical efficacies of posterior sagittal sacroperineal anoplasty (Pena surgery) on children of different ages with intermediate and highorder position congenital anal atresia.MethodsRetrospective analyses were performed for the clinical data of 46 children undergoing posterior sagittal sacroperineal anoplasty (Pena surgery) from January 2012 to December 2016.They were divided into 3 groups:group A (onestage pullthrough),group B (threestage pullthrough) and group C (onestage pullthrough after dilating fistula for high position anus atresia with a body surface fistula).General profiles,surgical complications and longterm defecation were compared among three groups.ResultsAll of them underwent posterior sagittal sacroperineal anoplasty (Pena surgery).No significant statistical differences existed in general data,intraoperative blood loss,surgical complications and longterm defecation function among three groups (P>0.05).However,the difference of operative duration was statistically significant among three groups (P=0.004).ConclusionNo significant differences exist in complications or anal functions for patients with congenital anal atresia undergoing posterior sagittal sacroperineal anoplasty (Pena surgery) at different ages.An appropriate age may be selected for operative flexibility by disease condition,family needs and technical level of a surgeon.
Last Update: 2018-08-21