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Perineal Groove : A...
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Samuk, InbalSchneider Children's Medical Center of Israel,Tel-Aviv University
(författare)
Perineal Groove : An Anorectal Malformation Network, Consortium Study
- Artikel/kapitelEngelska2020
Förlag, utgivningsår, omfång ...
Nummerbeteckningar
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LIBRIS-ID:oai:lup.lub.lu.se:58cfab15-4eb0-400e-98c0-8d154c3f55a1
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https://lup.lub.lu.se/record/58cfab15-4eb0-400e-98c0-8d154c3f55a1URI
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https://doi.org/10.1016/j.jpeds.2020.03.026DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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Ämneskategori:ref swepub-contenttype
Anmärkningar
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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 och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Amerstorfer, Eva E.Medical University of Graz
(författare)
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Fanjul, MariaHospital Gregorio Maranon
(författare)
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Iacobelli, Barbara D.Bambino Gesù Children’s Hospital
(författare)
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Lisi, GabrieleUniversity G.d'Annunzio of Chieti-Pescara
(författare)
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Midrio, PaolaTreviso Hospital
(författare)
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Morandi, AnnaMaggiore Hospital Policlinico
(författare)
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Schmiedeke, EberhardKlinikum Bremen-Mitte
(författare)
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Stenstrom, PernillaLund University,Lunds universitet,Barnkirurgi,Forskargrupper vid Lunds universitet,Pediatric surgery,Lund University Research Groups,Skåne University Hospital(Swepub:lu)med-pes
(författare)
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Sleeboom, ChristienVrije Universiteit Amsterdam,University of Amsterdam,Amsterdam UMC - Vrije Universiteit Amsterdam
(författare)
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Schneider Children's Medical Center of IsraelTel-Aviv University
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Journal of Pediatrics: Elsevier BV222, s. 207-2120022-3476
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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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