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Y4R4 - Surgery II 👨‍⚕️ > L1: Anorectal Malformations > Flashcards

L1: Anorectal Malformations Flashcards

1
Q

Def of Anorectal Malformations

A
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2
Q

Incidence of Anorectal Malformations

A

One in 5000 live births

Common Anomaly

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3
Q

CP of Anorectal Malformations

A
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4
Q

Types of Anorectal Malformations

  • General
A
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5
Q

Anorectal Malformations

  • Males
A
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6
Q

Anorectal Malformations in females

A
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7
Q

All anomalies with external opening are ……

A

low

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8
Q

All anomalies with internal fistula are …..

A

High

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9
Q
  • Anomalies without fistula are ……
A

low or high

  • according to the distance between the skin at normal position of the anus and the lowest gas shadow inside the rectum on plain X-ray (Skin-bowel distance)
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10
Q

Dx of Anorectal Malformations

A
  • General Ex
  • Local Ex
  • Radiological Tests
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11
Q

Dx of Anorectal Malformations

  • General Examination
A

exclude associated anomalies (VACTREL).

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12
Q

Dx of Anorectal Malformations

  • Local Examination
A
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13
Q

Dx of Anorectal Malformations

  • Rad
A
  • Cross table lateral film (Invertogram
  • Distal Loopogram
  • Ascending Urethrogram
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14
Q

Rad Dx of Anorectal Malformations

  • Cross table lateral film (Invertogram
A
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15
Q

Rad Dx of Anorectal Malformations

  • Distal Loopogram
A
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16
Q

Rad Dx of Anorectal Malformations

  • Ascending Urethrogram
A
17
Q

Rad Dx of Anorectal Malformations

  • Further Invx for Associated Anomalies
A
18
Q

TTT of Anorectal Malformations

A

….

19
Q

TTT of Anorectal Malformations

  • Preoperative
A
20
Q

TTT of Anorectal Malformations in Males

  • Very Low Anomalies
A

Anoplasty at Birth

21
Q

TTT of Anorectal Malformations in Males

  • Perineal Fistula
A

Limited Posterior Sagittal Anorectoplasty at birth

22
Q

TTT of Anorectal Malformations in Males

  • High anomalies (Meconium in Urine)
A

3 stages

  • Colostomy at birth
  • PSARP (Posterior Sagittal Anorectoplasty) at the age of 3-6 month
  • Closure of Colostomy after 1-2 month post PSARP
23
Q

TTT of Anorectal Malformations in Males

  • Algorithm
A
24
Q

TTT of Anorectal Malformations in Females

  • Perineal Anus
A

Anoplasty or Limited Anorectoplasty at birth

25
Q

TTT of Anorectal Malformations in Females

  • Vestibular Anus
A

Dilatation at birth & repair at the age of 3-6 month

26
Q

TTT of Anorectal Malformations in Females

  • Cloaca
A

3 Stages

  • Descending Colostomy at birth
  • Posterior Sagittal Anorecto-vagino-plasty
  • Closure of Colostomy
27
Q

TTT of Anorectal Malformations in Females

  • Algorithm
A

Y4R4 - Surgery II 👨‍⚕️ (21 decks)

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