Unit:
Κατεύθυνση Χειρουργική ΑνατομίαLibrary of the School of Health Sciences
Supervisors info:
Παναγιώτης Σκανδαλάκης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ, Επιβλέπων
Θεόδωρος Τρουπής, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Μαρία Πιάγκου, Επίκουρος Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Χειρουργική ανατομία του πρωκτού και συγγενείς διαμαρτίες
Translated title:
surgical of the anal canal, and congenital disorders
Summary:
Anorectal malformations represent a common clinical problem with an estimated incidence of 1/5000 living births; anal atresia being the most frequently reported one and rectal atresia another clinical group. However, these two conditions should not be approached as two separate diagnoses, but rather as two different clinical presentations both belonging in a spectrum of a common entity, as a result of inhibition of the normal embryological development of the anal canal, the perineum and the anorectal junction; each in a different stage.
Identifying the exact anatomical defect in each infant is critical for determining the appropriate treatment strategy. At the same time, when approaching such a patient, clinicians should always keep in mind that one malformation may be indicative of co-existing distant deformities as part of various genetic syndromes.
As far as the goals of our therapeutic approach are concerned, we should differentiate two distinct time frames. The first refers to hours or days after birth when there is imminent danger for the infant’s life. During the second one, the later one, we aim to treat functional and anatomical defects that will determine the child’s future quality of life. In both phases, the surgery plays a crucial role.
In recent years, it has been established that the sex of the child is an important factor in determining the optimal surgical approach. As far as surgical techniques are concerned, the Posterior Sagital anorectoplasty (PSARP) has been established as the operative gold standard.
Main subject category:
Health Sciences
Keywords:
Anorectal malformation, Anal atresia, Anorecroplasty, Surgical anatomy
File:
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εργασία.pdf
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