Abstract UNTIL recently, an infant born with an imperforate anus and a high rectal pouch, as revealed by x-rays or perineal exploration, was subjected to a colostomy and the repair of the anomaly deferred until later. In 1948 J. E. Rhoads1 described two cases in which colostomy was not done but instead an abdominoperineal procedure carried out shortly after birth as the complete and final operation. The present report deals with six newborn infants in whom a similar procedure was carried out without operative mortality. PREVIOUS WORK Of the two cases reported by Rhoads, in one the result was completely successful and in the other the infant died four months after surgery of renal failure due to hydronephrosis but with a normal functioning gastrointestinal tract. Shortly after this report, Norris2 discussed four cases in which treatment was similar, with successful results in two, failures being due to associated anomalies. References 1. Rhoads, J. E.; Pipes, R. L., and Randall, J. P.: A Simultaneous Abdominal and Perineal Approach in Operations for Imperforate Anus with Atresia of the Rectum and Rectosigmoid , Ann. Surg. 127:552, 1948.Crossref 2. Norris, W. J.; Brophy, T. W., III, and Brayton, D.: Imperforate Anus: A Case Series and Preliminary Report on the One Stage Abdominoperineal Operation , Surg., Gynec. & Obst. 88:623, 1949. 3. Santulli, T. V.: The Treatment of Imperforate Anus and Associated Fistulas , Surg., Gynec. & Obst. 95:601, 1952. 4. Moore, T. C., and Lawrence, E. A.: Congenital Malformations of the Rectum and Anus: Clinical Features and Surgical Management in 120 Cases , Surgery 32:352, 1952. 5. Ladd, W. E., and Gross, R. E.: Abdominal Surgery of Infancy and Childhood , Philadelphia, W. B. Saunders Company, 1941. 6. Wangensteen, O. H., and Rice, C. O.: Imperforate Anus: A Method of Determining the Surgical Approach , Ann. Surg. 92:77, 1930.
A.M.A. Archives Surgery – American Medical Association
Published: May 1, 1953
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