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PATHOLOGY AND SURGICAL TREATMENT OF "IMPERFORATE ANUS"

PATHOLOGY AND SURGICAL TREATMENT OF "IMPERFORATE ANUS" A study of more than 60 cases of so-called imperforate anus leads to the conclusion that the condition should really be thought of as an ectopic rectal opening. The external sphincter ani with its nerve supply develops independently at the normal position of the anus, while the rectum continues to communicate with the urethra or bladder in the male or with the vagina in the female. Although this communication was often minute it was demostrable as a rule. The opening should be sought for and closed; otherwise fecal contamination in the urinary tract can be expected as the infant grows. Surgical correction consists of finding the ectopic rectal opening and bringing it down to the location of the external sphincter with as little damage as possible to the innervation of the bladder and rectum. This can be done through an incision in the perineum in the female but requires a combined abdominoperineal approach in the male. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

PATHOLOGY AND SURGICAL TREATMENT OF "IMPERFORATE ANUS"

Bill, Alexander H.
JAMA , Volume 166 (12) – Mar 22, 1958
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References (2)

Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1958.02990120021005
Publisher site
See Article on Publisher Site

Abstract

A study of more than 60 cases of so-called imperforate anus leads to the conclusion that the condition should really be thought of as an ectopic rectal opening. The external sphincter ani with its nerve supply develops independently at the normal position of the anus, while the rectum continues to communicate with the urethra or bladder in the male or with the vagina in the female. Although this communication was often minute it was demostrable as a rule. The opening should be sought for and closed; otherwise fecal contamination in the urinary tract can be expected as the infant grows. Surgical correction consists of finding the ectopic rectal opening and bringing it down to the location of the external sphincter with as little damage as possible to the innervation of the bladder and rectum. This can be done through an incision in the perineum in the female but requires a combined abdominoperineal approach in the male.

Journal

JAMA – American Medical Association

Published: Mar 22, 1958

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