Imperforate Anus (IA)
Pediatric Imperforate Anus Surgery
History of IA, Decision Making, Treatment and Follow-up
Imperforate Anus from the Texas Pediatrical Surgical Associates
Explanation of high and low-lesion IA. Basic illustrations.
Colon and Rectal Surgery 5th Edition E-book Preview
Medical terminology, in-depth info.
Newborn Management of Anolrectol Malformations
Types of malformations.
Pull-Thru Network
History of IA, Decision Making, Treatment and Follow-up
Imperforate Anus from the Texas Pediatrical Surgical Associates
Explanation of high and low-lesion IA. Basic illustrations.
Colon and Rectal Surgery 5th Edition E-book Preview
Medical terminology, in-depth info.
Newborn Management of Anolrectol Malformations
Types of malformations.
Pull-Thru Network
VACTERL/VATER
VACTERL Network
Assistance, Materials, Events
VACTERL Association Family Network
TEF Vater Organization
A good history of VATER with easy to understand explanations of the acronym.
VACTERL on Wikipedia
VACTERL - PDF Download
Orphanet Journal of Rare Diseases
A comprehensive review– diagnostic, prognosis, genetics, unresolved questions.
Long-term Outcomes of Adults with VACTERL - PDF Download
National Institute of Health
Assistance, Materials, Events
VACTERL Association Family Network
TEF Vater Organization
A good history of VATER with easy to understand explanations of the acronym.
VACTERL on Wikipedia
VACTERL - PDF Download
Orphanet Journal of Rare Diseases
A comprehensive review– diagnostic, prognosis, genetics, unresolved questions.
Long-term Outcomes of Adults with VACTERL - PDF Download
National Institute of Health
Ostomy
Hollister Brochure - PDF Download
Lots of easy to understand info about taking care of a colostomy, FAQ's and more.
Ostomy Care Made Easy
From EdforNurses.com - A training course for nurses. Anatomy, types of ostomies, complications, types of pouches, tips for changing pouches and more!
Ostomy FAQ Brochure - PDF Download
Provided by the United Ostomy Associations of America.
Living with an Ostomy - Seminar PDF Download
Nursing information module. Ostomy products, dailing living, social concerns, diet and more.
Lots of easy to understand info about taking care of a colostomy, FAQ's and more.
Ostomy Care Made Easy
From EdforNurses.com - A training course for nurses. Anatomy, types of ostomies, complications, types of pouches, tips for changing pouches and more!
Ostomy FAQ Brochure - PDF Download
Provided by the United Ostomy Associations of America.
Living with an Ostomy - Seminar PDF Download
Nursing information module. Ostomy products, dailing living, social concerns, diet and more.
LAARP - Laparoscopically Assisted Analrectal Pull-through Procedure
From ORLive: Pediatric Imperforate Anus Pull-Through Procedure
Imperforate anus repair is surgery to correct birth defects involving malformation of the rectum and anus.
Normally, the large intestine (colon) empties into a pouch-like portion of bowel (rectum). Through complex nerve and muscle structures, the rectum releases stool through the anus out of the body.
Infants with imperforate anus defect, however, have malformations of the rectum and anus in which abnormal development leads to growth of skin over the anus and incomplete development of the rectum.
As a result, these infants have either no opening through which stool can pass, or a very small opening that allows only a small amount of stool to pass out of the rectum. This very small opening is often accompanied by fistulas, which are abnormal channels that connect skin to bowel.
Numerous laparoscopic operations have replaced the traditional open procedure in both adults and children. These new procedures have allowed access to body cavities without significantly traumatizing intervening tissue. The laparoscopically assisted anorectal pull-through (LAARP) for high anorectal malformations (ARM) uses fundamental concepts learned from decades of high ARM repair and incorporates modern technologic advancements in surgical instrumentation and techniques. This laparoscopic approach offers good visualization of an infant's deep pelvis with a reconstruction technique that minimizes trauma to important surrounding structures.
The laparoscopically assisted anorectal pull-through (LAARP) for repair of high imperforate anus utilizes minimal perineal dissection, preservation of the distal rectum, and accurate placement of the rectum within the levator ani and external anal sphincter muscle complex.
Study and Report of LAARP - Download
Photos, Statistics and interesting info.
Mohamed Magdy Elbarbary*, Ahmed Elham Fares**, Hesham El Saket*
Departments of Pediatric Surgery, Cairo University*, El Fayoum University**
Imperforate anus repair is surgery to correct birth defects involving malformation of the rectum and anus.
Normally, the large intestine (colon) empties into a pouch-like portion of bowel (rectum). Through complex nerve and muscle structures, the rectum releases stool through the anus out of the body.
Infants with imperforate anus defect, however, have malformations of the rectum and anus in which abnormal development leads to growth of skin over the anus and incomplete development of the rectum.
As a result, these infants have either no opening through which stool can pass, or a very small opening that allows only a small amount of stool to pass out of the rectum. This very small opening is often accompanied by fistulas, which are abnormal channels that connect skin to bowel.
Numerous laparoscopic operations have replaced the traditional open procedure in both adults and children. These new procedures have allowed access to body cavities without significantly traumatizing intervening tissue. The laparoscopically assisted anorectal pull-through (LAARP) for high anorectal malformations (ARM) uses fundamental concepts learned from decades of high ARM repair and incorporates modern technologic advancements in surgical instrumentation and techniques. This laparoscopic approach offers good visualization of an infant's deep pelvis with a reconstruction technique that minimizes trauma to important surrounding structures.
The laparoscopically assisted anorectal pull-through (LAARP) for repair of high imperforate anus utilizes minimal perineal dissection, preservation of the distal rectum, and accurate placement of the rectum within the levator ani and external anal sphincter muscle complex.
Study and Report of LAARP - Download
Photos, Statistics and interesting info.
Mohamed Magdy Elbarbary*, Ahmed Elham Fares**, Hesham El Saket*
Departments of Pediatric Surgery, Cairo University*, El Fayoum University**
PSARP Procedure
Excerpt From Cincinnati Children's Colorectal Center
Generally, this second stage of the surgical repair is performed in patients older than one month of age, provided the infant is growing and developing normally. Some surgeons, however, prefer to wait until the baby is six to 12 months old. The operation is performed in the prone position (face down) with a Foley catheter inserted in the bladder. It entails a midline posterior sagittal incision running from the middle portion of the sacrum to the anterior edge of the external sphincter.
The sphincter mechanism is divided in a midline incision, thereby preserving the nerve fibers and decreasing the amount of postoperative pain. The back of the child's buttocks is opened like a book, and all internal structures are exposed.
The rectum is then meticulously separated from the genitourinary tract, dissected, and freed enough to reach its normal site without tension. The fistula site is then closed.
Pull-Thru Network - PSARP
Generally, this second stage of the surgical repair is performed in patients older than one month of age, provided the infant is growing and developing normally. Some surgeons, however, prefer to wait until the baby is six to 12 months old. The operation is performed in the prone position (face down) with a Foley catheter inserted in the bladder. It entails a midline posterior sagittal incision running from the middle portion of the sacrum to the anterior edge of the external sphincter.
The sphincter mechanism is divided in a midline incision, thereby preserving the nerve fibers and decreasing the amount of postoperative pain. The back of the child's buttocks is opened like a book, and all internal structures are exposed.
The rectum is then meticulously separated from the genitourinary tract, dissected, and freed enough to reach its normal site without tension. The fistula site is then closed.
Pull-Thru Network - PSARP
Skin Breakdown
TEF/Vater Ano-rectal Website
Scroll to the bottom to find a chart featuring creams, barriers and cleansers to help with severe rash that often comes after baby starts stooling through the anus.
Scroll to the bottom to find a chart featuring creams, barriers and cleansers to help with severe rash that often comes after baby starts stooling through the anus.
Outcome and Prognosis
Medscape Pediatric Imperforate Anus
When evaluating the results of treatment of anorectal defects, patients should not be grouped into the traditional high, intermediate, and low categories.
When evaluating the results of treatment of anorectal defects, patients should not be grouped into the traditional high, intermediate, and low categories.
Cincinnati Children's Colorectal Center
Colorectal Center Website
We have not received any treatment here, but many parents across the world do. Their website is an excellent resource for information about the process.
We have not received any treatment here, but many parents across the world do. Their website is an excellent resource for information about the process.
Support Groups / Forums / Facebook
FACEBOOK GROUPS:
Most of these are private groups that you must request to join. These parents and individuals are a HUGE asset for asking questions and sharing stories.
Imperforate Anus Support Group
Imperforate Anus / Bowel Management
IA Kids
VACTERL Association
VACTERL Association Support Group
YAHOO GROUPS:
IA-Parents Support Group
The VACTERL Network
VATER Syndrome
OTHER:
UOAA Support Groups State Directory
Most of these are private groups that you must request to join. These parents and individuals are a HUGE asset for asking questions and sharing stories.
Imperforate Anus Support Group
Imperforate Anus / Bowel Management
IA Kids
VACTERL Association
VACTERL Association Support Group
YAHOO GROUPS:
IA-Parents Support Group
The VACTERL Network
VATER Syndrome
OTHER:
UOAA Support Groups State Directory