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Delayed anorectoplasty with fistula dilatation is commonly performed during infancy; however, we have been actively performing anorectoplasty in neonates. We report the surgical complications and postoperative defecation function associated with single-stage anorectoplasty performed in neonates. Methods: Patients who underwent surgery for AVF between 2007 and 2017 at two institutions were retrospectively studied. The operation time, amount of bleeding, time to start oral intake, perioperative complications, and Kelly\u2019s score were compared among patients who underwent surgery as neonates and those who underwent surgery as infants. Results: Eighteen neonates and 17 infants underwent anterior sagittal anorectoplasty. The median operation time and time to start oral intake were significantly shorter in the neonatal group (72 min; 3 days, respectively) than in the infant group (110 min, p\u2009=\u20090.0002; 5 days, p\u2009=\u20090.0024, respectively). Postoperative wound disruption was significantly more frequent in the infant group. Of the ten patients each in the neonatal and infant groups, there was no significant difference in Kelly\u2019s score at age \u2265\u20094 years. 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Investigation of the feasibility and safety of single-stage anorectoplasty in neonates with anovestibular fistula
http://hdl.handle.net/2237/00029103
27b1bab4-3f38-483f-9e5d-2cb9663a549a
名前 / ファイル | ライセンス | アクション | |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2018-12-11 | |||||
タイトル | ||||||
タイトル | Investigation of the feasibility and safety of single-stage anorectoplasty in neonates with anovestibular fistula | |||||
著者 |
Shirota, Chiyoe
× Shirota, Chiyoe× Suzuki, Keisuke× Uchida, Hiroo× Kawashima, Hiroshi× Hinoki, Akinari× Tainaka, Takahisa× Sumida, Wataru× Murase, Naruhiko× Oshima, Kazuo× Chiba, Kosuke× Makita, Satoshi× Tanaka, Yujiro |
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権利 | ||||||
権利情報 | “This is a post-peer-review, pre-copyedit version of an article published in [Pediatric Surgery International]. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00383-018-4324-3”. | |||||
抄録 | ||||||
内容記述 | Purpose: Anovestibular fistula (AVF) is the most common type of anorectal malformation in females. Delayed anorectoplasty with fistula dilatation is commonly performed during infancy; however, we have been actively performing anorectoplasty in neonates. We report the surgical complications and postoperative defecation function associated with single-stage anorectoplasty performed in neonates. Methods: Patients who underwent surgery for AVF between 2007 and 2017 at two institutions were retrospectively studied. The operation time, amount of bleeding, time to start oral intake, perioperative complications, and Kelly’s score were compared among patients who underwent surgery as neonates and those who underwent surgery as infants. Results: Eighteen neonates and 17 infants underwent anterior sagittal anorectoplasty. The median operation time and time to start oral intake were significantly shorter in the neonatal group (72 min; 3 days, respectively) than in the infant group (110 min, p = 0.0002; 5 days, p = 0.0024, respectively). Postoperative wound disruption was significantly more frequent in the infant group. Of the ten patients each in the neonatal and infant groups, there was no significant difference in Kelly’s score at age ≥ 4 years. Conclusion: Single-stage anorectoplasty in neonates with AVF can be feasibly performed and does not impair postoperative defecation function. | |||||
内容記述タイプ | Abstract | |||||
内容記述 | ||||||
内容記述 | ファイル公開:2019/10/01 | |||||
内容記述タイプ | Other | |||||
出版者 | ||||||
出版者 | Springer | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプresource | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
DOI | ||||||
関連識別子 | ||||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1007/s00383-018-4324-3 | |||||
ISSN(print) | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0179-0358 | |||||
ISSN(Online) | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1437-9813 | |||||
書誌情報 |
Pediatric Surgery International 巻 34, 号 10, p. 1117-1120, 発行日 2018-10 |
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著者版フラグ | ||||||
値 | author |