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<p>Anorectal malformations (ARMs) are a heterogeneous group of congenital anomalies that require tailored surgical management approaches to optimize postoperative bowel function. While advances in surgical techniques have improved overall outcomes, complications such as constipation and fecal incontinence remain prevalent challenges. We evaluated different ARM types and their surgical management in affected patients. This retrospective study involved review of medical records of 45 neonates with ARMs treated over five years in the Department of Pediatric Surgery of rural tertiary health center. Data on demographics, ARM types, surgical approaches, and outcomes were collected. Patients underwent single stage surgery for low-type ARM or three stage procedures for intermediate-high ARM. Postoperative bowel function was assessed, with outcomes categorized as good bowel control, constipation, or fecal incontinence. The neonates were mainly male (64.44%) and mean age was 1.04 ± 0.21 days. Majority of parents received infertility treatment (57.78%), and the most common associated anomalies were atrial septal defect (8.89%) and patent foramen ovale (6.67%). Of 45 neonates, 25 (55.56%) had low ARM and 20 (44.44%) had intermediate-high ARM. Single and three stages surgery were performed in 55.56% and 44.44% neonates, respectively, and mainly indicated for vestibular fistula (40.00%) and rectobulbar fistula (50.00%), respectively. Overall, 51.11% neonates achieved a good outcome, with constipation (common in low ARM) and fecal incontinence (common in intermediate-high ARM) noted in 33.33% and 15.56% neonates, respectively. Postoperatively, over half of the patients with ARMs achieved satisfactory functional outcomes, though many continued to experience defecatory dysfunction postoperatively.</p>

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notably considered within the spectrum of the VACTERLSurgical Management of Anorectal Malformations: A Retrospective Study from Rural Tertiary Care Center

  • 期刊论文

  • 发表日期：

    2026年2月11日

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  • Nitin Prakashchandra Palse,
  • Vasudev Pandhrinath Pise,
  • Manjusha Litake

摘要

Anorectal malformations (ARMs) are a heterogeneous group of congenital anomalies that require tailored surgical management approaches to optimize postoperative bowel function. While advances in surgical techniques have improved overall outcomes, complications such as constipation and fecal incontinence remain prevalent challenges. We evaluated different ARM types and their surgical management in affected patients. This retrospective study involved review of medical records of 45 neonates with ARMs treated over five years in the Department of Pediatric Surgery of rural tertiary health center. Data on demographics, ARM types, surgical approaches, and outcomes were collected. Patients underwent single stage surgery for low-type ARM or three stage procedures for intermediate-high ARM. Postoperative bowel function was assessed, with outcomes categorized as good bowel control, constipation, or fecal incontinence. The neonates were mainly male (64.44%) and mean age was 1.04 ± 0.21 days. Majority of parents received infertility treatment (57.78%), and the most common associated anomalies were atrial septal defect (8.89%) and patent foramen ovale (6.67%). Of 45 neonates, 25 (55.56%) had low ARM and 20 (44.44%) had intermediate-high ARM. Single and three stages surgery were performed in 55.56% and 44.44% neonates, respectively, and mainly indicated for vestibular fistula (40.00%) and rectobulbar fistula (50.00%), respectively. Overall, 51.11% neonates achieved a good outcome, with constipation (common in low ARM) and fecal incontinence (common in intermediate-high ARM) noted in 33.33% and 15.56% neonates, respectively. Postoperatively, over half of the patients with ARMs achieved satisfactory functional outcomes, though many continued to experience defecatory dysfunction postoperatively.