The Distance Between The First Operation And Subsequent Surgery In Patients With Atresia Ani?
I want to ask my child to be born with atresia ani type of poop of her baby coming out of the vaginal opening. About 20 days ago, the first surgery was done, waiting for another month for the next surgery? How is the operation? And how many times for the operation ??
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We understand your complaints and concerns. Atresia ani is one of the congenital malformations / congenital abnormalities that occur in infants since they are still in the womb. Atresia ani in men and women have several different types.
Type without fistula (no anal canal)
Urinary fistula (out through the urinary hole)
Skin fistula (feces coming out of small holes in the perineum)
Whereas in women:
Fistless type (no anal canal)
Type festibulum / vagina (exit through the vagina)
Cloaca type: urinary, vaginal and anal canals in one hole
Based on your information, chances are your child has atresia ani festibulum / vagina type. Management of atresia ani can be done with surgical procedures. Before the surgical procedure is performed, it must be known whether atresia ani occurs at a high location or low location. Often atresia ani high location (located far from the rectum / skin,> 1 cm) is more common than low location. To find out the location of high or low, an examination with plain abdominal photographs, or CT scan is enough to help the diagnosis.
Atresia ani elevated surgery can be done several times. The first operation will usually be a colostomy to replace the anal function. A hole will be formed in the abdominal wall which is a direct estuary from the intestine in the stomach. This hole serves to remove dirt and reduce pressure from the stomach. Then, in the minimum time span between 4-8 weeks, further surgery can be continued for the formation of the anus by direct open surgery (posterior sagittal anorectoplasty / PSARP) or by laparoscopic anorectoplasty. After the definitive operation is completed, the next action is the closure of the stoma / colostomy which is done within a period of several weeks after the previous operation.
This is different from low lying atresia which generally only requires a single operation if no other abnormalities are found.
The choice of procedure is based on medical considerations from the pediatric surgeon based on the clinical condition of your child. The process of preparation for surgery should also be done well in advance, such as maintaining the health of your child and maximizing nutrition so that the baby's weight is enough to be ready for surgery.
It is highly recommended to consult and examine directly with a pediatric surgeon so that you get complete and relevant information regarding your child's condition. So much information that I can convey, hopefully it helps