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Perineal Groove : A...
Perineal Groove : An Anorectal Malformation Network, Consortium Study
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- Samuk, Inbal (författare)
- Tel-Aviv University,Schneider Children's Medical Center of Israel
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- Amerstorfer, Eva E. (författare)
- Medical University of Graz
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- Fanjul, Maria (författare)
- Hospital Gregorio Maranon
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- Iacobelli, Barbara D. (författare)
- Bambino Gesù Children’s Hospital
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- Lisi, Gabriele (författare)
- University G.d'Annunzio of Chieti-Pescara
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- Midrio, Paola (författare)
- Treviso Hospital
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- Morandi, Anna (författare)
- Maggiore Hospital Policlinico
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- Schmiedeke, Eberhard (författare)
- Klinikum Bremen-Mitte
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- Stenstrom, Pernilla (författare)
- Lund University,Lunds universitet,Barnkirurgi,Forskargrupper vid Lunds universitet,Pediatric surgery,Lund University Research Groups,Skåne University Hospital
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- Sleeboom, Christien (författare)
- University of Amsterdam,Vrije Universiteit Amsterdam,Amsterdam UMC - Vrije Universiteit Amsterdam
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(creator_code:org_t)
- Elsevier BV, 2020
- 2020
- Engelska 6 s.
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Ingår i: Journal of Pediatrics. - : Elsevier BV. - 0022-3476. ; 222, s. 207-212
- Relaterad länk:
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objective: To review the Anorectal Malformation Network experience with perineal groove (PG) focusing on its clinical characteristics and management. Study design: Data on patients with PG managed at 10 participating Anorectal Malformation Network centers in 1999-2019 were collected retrospectively by questionnaire. Results: The cohort included 66 patients (65 females) of median age 1.4 months at diagnosis. The leading referral diagnosis was anal fissure (n = 20 [30.3%]): 23 patients (34.8%) had anorectal malformations. Expectant management was practiced in 47 patients (71.2%). Eight (17%) were eventually operated for local complications. The median time to surgery was 14 months (range, 3.0-48.6 months), and the median age at surgery was 18.3 months (range, 4.8-58.0 months). In the 35 patients available for follow-up of the remaining 39 managed expectantly, 23 (65.7%) showed complete or near-complete self-epithelization by a mean age 15.3 months (range, 1-72 months) and 4 (11.4%) showed partial self-epithelization by a mean age 21 months (range, 3-48 months). Eight patients showed no resolution (5 were followed for ≤3 months). Nineteen patients (28.7%) were primarily treated with surgery. In total, 27 patients were operated. Dehiscence occurred in 3 of 27 operated patients (11.1%). Conclusions: PG seems to be an underestimated anomaly, frequently associated with anorectal malformations. Most cases heal spontaneously; therefore, expectant management is recommended. When associated with anorectal malformations requiring reconstruction, PG should be excised in conjunction with the anorectoplasty.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Nyckelord
- anorectal malformations
- congenital anomaly
- groove
- neonatal
- perineal sulcus
- perineum
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Samuk, Inbal
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Amerstorfer, Eva ...
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Fanjul, Maria
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Iacobelli, Barba ...
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Lisi, Gabriele
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Midrio, Paola
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Morandi, Anna
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Schmiedeke, Eber ...
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Stenstrom, Perni ...
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Sleeboom, Christ ...
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