Experience in the Management of Imperforate Anus in Zaria
Abstract
Summary: The outcome of management of 111 children with imperforate anus over an 11-year period (1971–1981) at the Ahmadu Bello University Hospital, Zaria, is reviewed The overall mortality improved from 46.4% as at June 1978 to 29% as at December 1981, while the mortality for cases who urder went a pull-through procedure improved from 68% in 1978 to 29% in 1981. From the experience based on the present study, it is recommended that: (a) abdomino perineal pull-through procedure for su pralevator lesions should be avoided in neo nates (b) an 'open' technique of colostomy care is ideal in our local setting where the usual colostony appliances are hard to come by and (c) abdorino-perincal pull through can be safely performed between the ages of 4 and 6 months after an initial preliminary colostomy.
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