EVLUATION OF THE OUTCOME OF 60 ANORECTOPLASTY BY POSTERIOR SAGITAL APPROACH

Anorectal malformation is one of the congenital diseases with incidence of 3 to 5 in 1000 live births, with a wide range of clinical manifestation from anterior displacement of anus to more severe anomaly with common channel in perineum for defecation and urination and vaginal interoitus.A 5 year retrospective study on 60 patients, all of whom were operated on with postrior sagital approach ((Pena)) and were then followed up on out-patient basis.To rule out any variations in operation procedure, all the patients were operated by one surgeon. The results showed 90 % success in fecal continence, which is favorable comparable with previous abdominosacral technique. Although now-a-days abdominosacral approach is not used, most of the patients underwent this operation suffered from incontinence. In our study, soiling was observed in 8% of our patients. Furthermore, there was neither stricture, following the compete dilatation programme, nor other common complications such as fever.