A study of primary PSARP in vestibular fistula in females

Abstract

Background: Anorectal malformations (ARMs) are birth defects in which the anus is absent or malformed. Its incidence occurs in 1 in 5000 births and affects boys and girls equally. ARMs are a spectrum of different congenital anomalies that vary from fairly minor lesions to a complex anomaly. Posterior Sagittal Anorectoplasty (PSARP) is a definitive repair that can be carried out in neonates without prior colostomy creation. The virtually sterile meconium during the 1st week of life reduces the risk of infection from faecal contamination. Many centres in developed countries have recorded multiple successes with primary PSARP in neonates. Material and methods: It was a Hospital based prospective study. It was approved by GMCH and Medical Research and Ethics committee. However, for interview with parents regarding assessment of bowel function of their children, all parents gave their written consent before recruitment and inclusion in this study. Data were obtained from patients parents interview via phone calls and records and follow- up sheets kept in the Medical Records Section. Results: All the patients were seen in OPD hours in our hospital and most common feature in babies that parents bring them to the hospital is that babies were passing stool from vagina since birth, some other features were abdominal distension, skin excoriation , malnutrition, some babies were required regular rectal washes to pass the stool and remaining were required anal dilatation. Conclusions: In our study cardiovascular and Genitourinary anomalies were most common anomalies associated with Vestibular Fistula. Surgical site wound infection was the most common Early Postoperative complication. Constipation and Incontinence were the most common Late postoperative complication.