Anorectal malformations and perineal hemangiomas : The Arm-Net Consortium experience

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Samuk, InbalTel-Aviv University (författare)

Anorectal malformations and perineal hemangiomas : The Arm-Net Consortium experience

Artikel/kapitelEngelska2019

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Elsevier BV,2019
5 s.

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LIBRIS-ID:oai:lup.lub.lu.se:280fa42a-c4e0-47ee-95ef-0ef72f0b3a5e
https://lup.lub.lu.se/record/280fa42a-c4e0-47ee-95ef-0ef72f0b3a5eURI
https://doi.org/10.1016/j.jpedsurg.2018.10.111DOI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:art swepub-publicationtype
Ämneskategori:ref swepub-contenttype

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Aim: Perineal hemangiomas rarely occur in patients with anorectal malformations (ARMs), but they can pose a significant challenge and warrant special attention. Surgical incision of posterior sagittal anorectoplasty (PSARP) may involve the hemangioma site resulting in hemorrhage, damage to blood supply, leading to complications and adversely affecting outcome. The aim of this study was to review the experience of the ARM-Net Consortium in the management of perineal hemangioma associated with ARM and evaluate treatment strategies. Materials and methods: Data on all patients with ARM and a perineal hemangioma located in the planes of the PSARP dissection who were managed at participating ARM-Net centers were collected retrospectively by questionnaire, as follows: ARM type, hemangioma distribution and penetration, imaging findings, medical/surgical management, timing of definitive repair, complications and outcome. Results: Ten patients from eight centers were included. Three patients each had a rectobulbar or rectovestibular fistula, 2 had a rectoperineal fistula, and one had a rectoprostatic fistula; in one patient, the hemangioma was too disfiguring to determine malformation type. Mean follow-up time was 36.6 months (median 29 months). Colostomies were performed before definitive repair in 8 patients. Five patients received systemic beta-blockers before PSARP: 3 were operated uneventfully following partial/complete involution of the hemangioma, and 2 are awaiting surgery. The two patients with rectoperineal fistula were managed expectantly. The remaining 3 patients underwent surgery with no preoperative medical treatment, and all had complications: mislocated neoanus in three and complete perineal dehiscence in one. Conclusion: Attempting PSARP in the presence of a perineal hemangioma may lead to complications and adversely affect outcome. This study confirms the benefits of beta blocker treatment before surgical reconstruction. Level of evidence: Treatment study, level III.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Pediatrik hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Pediatrics hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
Anorectal malformations
Anorectoplasty
Anus
Beta-blockers
Hemangioma
Imperforate

Biuppslag (personer, institutioner, konferenser, titlar ...)

Gine, CarlosVall d'Hebron University Hospital (författare)
de Blaauw, IvoRadboud University Medical Center (författare)
Morandi, AnnaMaggiore Hospital Policlinico (författare)
Stenstrom, PernillaLund University,Lunds universitet,Barnkirurgi,Forskargrupper vid Lunds universitet,Pediatric surgery,Lund University Research Groups,Skåne University Hospital(Swepub:lu)med-pes (författare)
Giuliani, StefanoGreat Ormond Street Hospital (författare)
Lisi, GabrieleUniversity G.d'Annunzio of Chieti-Pescara,Civic Hospital Of Pescara (författare)
Midrio, PaolaTreviso Hospital (författare)
Tel-Aviv UniversityVall d'Hebron University Hospital (creator_code:org_t)

Sammanhörande titlar

Ingår i:Journal of Pediatric Surgery: Elsevier BV54:10, s. 1993-19970022-3468

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Av författaren/redakt...: Samuk, Inbal; Gine, Carlos; de Blaauw, Ivo; Morandi, Anna; Stenstrom, Perni ...; Giuliani, Stefan ...; visa fler...; Lisi, Gabriele; Midrio, Paola; visa färre...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Pediatrik

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

Artiklar i publikationen: Journal of Pedia ...

Av lärosätet: Lunds universitet

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