- WHAT IS ANAL ATRESIA? (Closed anus in the baby)
Anal atresia is the muscle complex where the anus opening does not develop during the development of the baby in the womb or must be present due to its location (sphincter) is that it cannot pass through. Since there is no opening in the anus, the baby cannot poop. This rare anomaly is very difficult to detect during prenatal ultrasound examinations. It occurs in approximately 1 in 5000 births. Diagnosis is made by seeing the baby's anus closed after birth. In addition, the baby's inability to poop and his/her belly is swollen also raise suspicion. It is easily noticed during the general examination performed in the postpartum period, and those with location anomalies are brought to hospitals by mothers complaining of chronic defecation difficulty in the future.
- IS SURGERY REQUIRED, HOW IS THE SURGERY PERFORMED?
The procedure to be performed varies depending on whether there is an anal opening or the distance of the underdeveloped intestine from the place where the anus should be as a result of the examinations. If the anal opening is located in the front rather than within the muscle complex where it should be, the surgery is usually performed in a single session only from the anus area. If the anal opening has not developed at all, then the mouth of the large intestine to the abdominal wall (colostomy) is performed, and when the child reaches the appropriate age and weight, complementary surgery must be performed.
When these surgeries are not performed, in the absence of an anus, the baby Chronic constipation is inevitable in cases of death and location anomaly.
The surgery varies depending on the procedure to be performed. In cases of placement anomaly, the surgery is performed from the anus area, while in cases where there is no anus, a part of the large intestine is mouthed to the upper part of the left groin area, and the baby passes the stool into the bag placed there. The duration of the surgery varies depending on the procedure to be performed, but varies between 1 and 2 hours.
After the procedure; After the operation, the patient is monitored in the neonatal intensive care unit or pediatric surgery service, depending on his age. border. The patient is hospitalized for 2-3 days depending on the condition of the surgery. While patients who underwent colostomy are fed as soon as bowel movements begin, patients who underwent single-session surgery in the anal area are not fed orally for 4 to 5 days, and the necessary nutritional support is given intravenously.
- WHAT ARE THE POSSIBLE COMPLICATIONS OF THE SURGERY?
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