Abdominal Skin Often Bleed After Atresia Ani Surgery On Infants?
Thank you for the question.
Atresia ani is a congenital defect where the development of the anus and rectum is not perfect, causing the anal canal to narrow or not form at all, forming a fistula that connects the rectum or anus to other organs abnormally, can even make the rectum not connected to the colon.
This condition should be treated definitively with surgery. Atresia ani surgery is generally done in several stages, one of which is by doing a colostomy (making a stoma / hole in the abdominal wall that is connected to the colon as a temporary drain) that is connected to a bag outside (colostomy bag). Furthermore, other types of surgery can be performed depending on the type of atresia ani, for example by performing perineal anoplasty in patients who have rectal or anal fistula connecting with other organs.
The discharge of blood at the edge of the colostomy stoma to make the baby cry in pain should be examined IMMEDIATELY to the doctor, pediatric surgery specialist, or pediatrician who treats it. It is feared, the discharge of blood from the edge of the stoma indicates an inflammation of the skin (often due to infection or irritation), ischemia (tissue death), fistula formation in the stoma, or many other possible conditions. Depending on the cause, later the treatment of doctors will vary, can be given enough medicine, bag replacement, reoperation, and so on.
Before going to the doctor, you should calm your baby first by breastfeeding it regularly, especially when crying. Always keep the area around the colostomy stoma clean and dry. Do not carelessly give children any medication or treatment before consulting it directly to the doctor.
Hope this helps ...