Quality of Life in Children After Corrective Surgery for Anorectal Malformation at Kenyatta National Hospital
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Date
2016Author
Swaleh, Shahbal H
Type
ThesisLanguage
en_USMetadata
Show full item recordAbstract
Twenty five patients with Anorectal Malformation were enrolled in the study for assessment
of Quality of Life after corrective surgery for Anorectal Malformation.
Seventy two percent of the participants had good functional outcome , 12 percent had a fair
outcome and 16% percent had a poor outcome.
Low malformations have a better prognosis compared to high malformations i.e. 92% vs.
33% respectively.
Redo surgery is the biggest cause of unfavourable outcomes. Only 37.5% achieved normal
bowel control after redo procedures. Eight participants had redo surgeries.
Females had better outcomes than males probably because more females had lower
malformations compared to males. All females enrolled in the study had recto vestibular
fistulae.
Vertebral anomalies were found in two participants but this however did not affect their
outcome. This is a rare finding because vertebral anomalies are known to have poor outcomes
due to associated poor innervation of the anal sphincter and poor development of the
sphincter muscles.
The Paediatric surgical department at KNH is evolving and adapting standards as practiced
elsewhere worldwide. The old patients had abdominal perineal surgery, later Posterior
sagittal anorectoplasty was adapted and now more surgeons are practising Anterior sagittal
anorectoplasty with very good results.
Publisher
University of Nairobi