European consensus meeting of ARM-Net members concerning diagnosis and early management of newborns with anorectal malformations
Colorectal Surgery
DOI:
10.1007/s10151-015-1267-8
Publication Date:
2015-01-21T08:27:41Z
AUTHORS (21)
ABSTRACT
The ARM-Net (anorectal malformation network) consortium held a consensus meeting in which the classification of ARM and preoperative workup were evaluated with aim improving monitoring treatment outcome. Krickenbeck suggested by Levitt Peña, used as template, discussed, collaborative was achieved. is appropriate describing for clinical use. slightly modified. In males visible fistula, no cross-table lateral X-ray needed an anoplasty or (mini-) posterior sagittal anorectoplasty can directly be performed. females small vestibular fistula (Hegar size <5 mm), primary repair colostomy recommended; may delayed if admits Hegar >5 mm, meantime, gentle painless dilatations both male female perineal either low birth weight (<2,000 g) severe associated congenital anomalies, prolonged might indicated to decrease perioperative morbidity caused general anesthesia. Some minor modifications Peña have been introduced order refine terminology establish comprehensive workup.
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