Malformations anorectales

  • B. Frémond
Chapter

Résumé

Dans les malformations anorectales « hautes », le cul-de-sac rectal ne descend pas en dessous du plan des releveurs, la chirurgie est complexe et son résultat est aléatoire. Dans les malformations anorectales « basses », le cul-de-sac descend sous le plan des releveurs, la chirurgie périnéale est suffisante, et son résultat acceptable. Les malformations associées sont observées dans la moitié à deux tiers des cas, et elles influencent beaucoup le pronostic. Le traitement chirurgical habituel est une anorectoplastie par voie périnéale sagittale postérieure: un tiers des enfants opérés sont parfaitement continents, mais un quart restent totalement incontinents et la moitié sont constipés. La qualité de vie est souvent sérieusement affectée par les malformations anorectales opérées durant l’enfance. L’acceptation ainsi que la connaissance des séquelles par les parents et l’enfant sont une première étape essentielle.

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Copyright information

© Springer-Verlag France 2005

Authors and Affiliations

  • B. Frémond
    • 1
  1. 1.Service de chirurgie pédiatriqueHôpital de PontchaillouRennes

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