Wednesday, September 15, 2010

Imperforate Anus

Low vs high.
Low perineal procedure.
High colostomy and pull through

Best to wait 24 hrs to define high or low.
- invertogram
>1 cm high
<1cm low High create colostomy then come back in 3 mos. Low cutback anoplasty High posterior sagital anorectal pullthrough Cloaca. Combined uretral and anal opening. Need to separate all and create new openings

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