Anal Sphincter Reconstruction for Pediatric Perineal Trauma
Author Information
Author(s): Ryan Julia Ann, Xu Thomas O., Ho Christina, Varda Briony K., Gomez-Lobo Veronica, Mayhew Allison, Teeple Erin, Badillo Andrea, Feng Christina, Levitt Marc A.
Primary Institution: Children's National Hospital, Washington, District of Columbia, United States
Hypothesis
The study aims to describe reconstruction in pediatric patients with anal sphincter injuries using lessons learned from reoperative anorectal malformation surgery.
Conclusion
The experience from treating re-operative anorectal malformation cases can be utilized to restore fecal continence in pediatric patients with perineal trauma.
Supporting Evidence
- Two patients had ostomy reversal and regained voluntary fecal control.
- The third patient is awaiting colostomy reversal but has regained volitional urinary control after urethral reconstruction.
- Experience from reoperations for anorectal malformations can be applied to cases of rectal trauma.
Takeaway
This study looked at three kids who got hurt in their private areas and needed surgery to fix it. The doctors used special techniques to help them go to the bathroom normally again.
Methodology
This is a single-institution retrospective case series of three pediatric patients who underwent anal sphincter reconstruction.
Limitations
The study is limited by the small sample size and the lack of standardized management strategies for pediatric perineal trauma.
Participant Demographics
Three pediatric patients aged 5, 12, and 13 years, including two females and one male.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website