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Defecation Patterns after Posterior SagittaI Anorectoplasty with an Objective Scoring System

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Authors
Kim, Woo-Ki; Park, Kwi-Won; Lee, Seong-Cheol; Jung, Seong Eun
Issue Date
1993-03
Publisher
Seoul National University College of Medicine
Citation
Seoul J Med, Vol.34 No.1, pp. 35-39
Keywords
Imperforate anusAnorectal malformationsPosterior sagittal anorectoplastyKelly scoreIncontinence
Abstract
Imperforate anus, the common name representing a wider spectrum
of anorectal malformations in newborns is one of the major congenital lesions in
pediatric surgery. Since the establishment of pediatric surgery in Seoul National
University (1978), more than 500 cases of anorectal anomalies had been treated
up to 1990. To evaluate the quality of life after corrective treatment, defecation
patterns were studied using clinical Kelly scores in 90 patients with high type
ano-rectal anomalies repaired during the 1978-1985 period. These 90 patients
were treated by two surgical repair methods (26 Rehbein, 64 Pena). Not only the
continence scores but also other aspects of social adaptation as well as an index
of quality of life were compared with a control group. Although precise
anatomical repair under direct view (Pena) will give a better defecation pattern
compared to the blind type of abdomino-perineal repair, their long term
adaptation is not significantly superior. This study showed that the function is not
always the net result of anatomic repair. Thus, the importance of the initial
corrective operation is again emphasized.
ISSN
0582-6802
Language
English
URI
http://hdl.handle.net/10371/5595
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)The Seoul Journal of MedicineThe Seoul Journal of Medicine Vol. 34 No.1 (1993)
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