CONGENITAL POUCH COLON; OUR EXPERIENCE WITH SINGLE STAGE PROCEDURE.

  • Muhammad Ramzan Bhutta Quaid-e-Azam Medical College/ Bahawal Victoria Hospital, Bahawalpur.
  • Faseeh Abid Quaid-e-Azam Medical College/ Bahawal Victoria hospital, Bahawalpur.
  • Abid Hameed Sheikh Quaid-e-Azam Medical College/ Bahawal Victoria hospital, Bahawalpur.
Keywords: Anorectal Agenesis, Kelly’s scoring, ARM, Pouch Colon, SSP

Abstract

Objectives: To review our experience with single-stage management of congenital pouch colon (CPC) as regard to complications and continence. Study Design: retrospective study. Setting: Paediatric Surgery Bahawal Victoria Hospital Bahawalpur. Period: July 2011 to July 2017. Methodology: All the patients of anorectal agenesis that were diagnosed as case of CPC on history, clinical examination and supported by x-ray (invertogrm) admitted during the study period 2011 to 2017 were included. A total of 35 cases were managed with single stage procedure. All the patients were assessed for complications, mortality, and continence with Kelly’s scoring. Results: We managed 35 patients with average age 2.8 days ranging from 12 hours to 5 days. 29 (82,8%) were males and 6 (17.2%) females. In 31 (85.7%) patients, the association was with high anorectal agenesis, whereas, in 4(14.3%) patients with low ARM. At operation, type 1 CPC was in 4 (11.4%) patients, type II in 9 (25.7%), type III in 5 (14.2%) patients, and type IV in 17 (48.5%) patients. There were 2 (5.7%) deaths in our study; the reason was associated anomaly and sepsis. Wound infection was seen in 5 (14.2%) pts. anal stenosis in 2 pts. and mucosal prolapse in 1 pt. Continence was evaluated by the Kelly’s scoring and it showed good results. Conclusions: The results of SSP for various types of CPC are good as regards continence and cosmetics, with decrease rate of morbidity and mortality and hence it is recommended.

Author Biographies

Muhammad Ramzan Bhutta, Quaid-e-Azam Medical College/ Bahawal Victoria Hospital, Bahawalpur.

MBBS, FCPS (General Surgery),

FCPS (Pediatric Surgery)

Assistant Professor

Department of Pediatric Surgery

 

Faseeh Abid, Quaid-e-Azam Medical College/ Bahawal Victoria hospital, Bahawalpur.

MBBS

Medical Officer

Department of Pediatric Surgery

 

Abid Hameed Sheikh, Quaid-e-Azam Medical College/ Bahawal Victoria hospital, Bahawalpur.

MBBS, MS

Associate Professor

Department of Pediatric Surgery

 

Published
2019-07-10