Imperforate Anal Membrane

Anal Atresia With High Lesion

Table 8.9 Wingspread Conference classification Table 8.9 Wingspread Conference classification 2. Anal agenesis without fistula 3. Anal agenesis without fistula 1. Anocutaneous perineal fistula 1. Anovestibular perineal fistula, 2. Anocutaneous perineal fistula Persistent cloacal anomaly Rare malformations complex, it allowed ARM to be viewed in a structured fashion. Intermediate was later added to this classification to describe those lesions where the rectum ends below the PC line. In 1964...

Vacterl Syndrome Life Expectancy

Vacterl Syndrome Life Expectancy

Anorectal malformations ARM and cloacal anomalies are rare and complex malformations of the lower gastrointestinal and genitourinary tract. They affect approximately 1 3,500-1 5,000 live births 1 . They may occur in isolation or in association with abnormalities of the urogenital, cardiovascular and skeletal systems as well as with the vertebral, anal, cardiac, tracheoesophageal, renal and limb abnormalities VACTERL association. Treatment has traditionally focussed on achieving urinary and...

Inversion Radiography

Pubococcygeal Line Line

Wangensteen and Rice 50 first described the use of inversion radiography in 1930 to indicate the distance between the gas bubble within the terminal colon and the perineal skin. Many authors 6, 8, 11, 13, 19, 22, 29, 39, 48 then subsequently related the distance from the skin to the underlying abnormality, although the measurement of the distance alone does not provide the essential information required, which is the relationship of the blind-ending rectum to the levator ani and sphincter...

Rectoperineal Fistulas

Anteriorly Placed Rectum

Rectoperineal fistula is what traditionally was known as a low defect. The rectum is located within most of the sphincter mechanism. Only the lowest part of the rectum is anteriorly mislocated Fig. 20.2 . Sometimes the fistula does not open into the perineum, but rather follows a subepithelial midline tract, opening somewhere along the midline perineal raphe, scrotum, or even at the base of the penis. The diagnosis is established by perineal inspection. No further investigations are required....

Krickenbeck Consensus for the Classification Grouping of Surgical Techniques and Scoring for Follow Up of Anorectal

Standards for diagnostic procedures International Classi- International grouping Krickenbeck of surgical proce-fication Krickenbeck dures for follow up Perineal cutaneous fistula Rectourethral fistula Bulbar Prostatic Rectovesical fistula Vestibular fistula Cloaca No fistula Anal stenosis Pouch Colon Rectal atresia stenosis Rectovaginal fistula H type fistula Others Perineal operation Anterior sagittal approach Sacroperinal procedure PSARP Abdominosacroperi-neal pull-through Abdominoperineal...