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  • Samuk, InbalSchneider Children's Medical Center of Israel,Tel-Aviv University (author)

Perineal Groove : An Anorectal Malformation Network, Consortium Study

  • Article/chapterEnglish2020

Publisher, publication year, extent ...

  • Elsevier BV,2020
  • 6 s.

Numbers

  • LIBRIS-ID:oai:lup.lub.lu.se:58cfab15-4eb0-400e-98c0-8d154c3f55a1
  • https://lup.lub.lu.se/record/58cfab15-4eb0-400e-98c0-8d154c3f55a1URI
  • https://doi.org/10.1016/j.jpeds.2020.03.026DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:art swepub-publicationtype
  • Subject category:ref swepub-contenttype

Notes

  • 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.

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Amerstorfer, Eva E.Medical University of Graz (author)
  • Fanjul, MariaHospital Gregorio Maranon (author)
  • Iacobelli, Barbara D.Bambino Gesù Children’s Hospital (author)
  • Lisi, GabrieleUniversity G.d'Annunzio of Chieti-Pescara (author)
  • Midrio, PaolaTreviso Hospital (author)
  • Morandi, AnnaMaggiore Hospital Policlinico (author)
  • Schmiedeke, EberhardKlinikum Bremen-Mitte (author)
  • Stenstrom, PernillaLund University,Lunds universitet,Barnkirurgi,Forskargrupper vid Lunds universitet,Pediatric surgery,Lund University Research Groups,Skåne University Hospital(Swepub:lu)med-pes (author)
  • Sleeboom, ChristienVrije Universiteit Amsterdam,University of Amsterdam,Amsterdam UMC - Vrije Universiteit Amsterdam (author)
  • Schneider Children's Medical Center of IsraelTel-Aviv University (creator_code:org_t)

Related titles

  • In:Journal of Pediatrics: Elsevier BV222, s. 207-2120022-3476

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