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Correlation of the Position of the Anal Dimple with the Caudal Termination of the Striated Muscle Complex in Patients with Anorectal Malformations.

作者信息

Kumar Amit, Bangar Vipan, Khan Niyaz Ahmed, Patel Jigar N, Gupta Amit, Yadav Partap Singh, Chadha Rajiv, Choudhury Subhasis Roy

机构信息

Department of Pediatric Surgery, Lady Hardinge Medical College, Kalawati Saran Children's Hospital, New Delhi, India.

出版信息

J Indian Assoc Pediatr Surg. 2022 Mar-Apr;27(2):185-190. doi: 10.4103/jiaps.JIAPS_362_20. Epub 2022 Mar 1.

DOI:10.4103/jiaps.JIAPS_362_20
PMID:35937128
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9350651/
Abstract

BACKGROUND

In children with anorectal malformations (ARM), the vertical fibres of the striated muscle complex (SMC) are believed to be located within the limits of the anal dimple (AD).

METHODS

Forty five cases of ARM underwent posterior sagittal anorectoplasty (PSARP), median age 8.5 months. During PSARP the anterior, posterior limits and midpoint of the AD and SMC were marked. The location of AD was correlated with SMC.

RESULTS

A 'well developed' AD and SMC was seen in 80 % and 86.7 % patients respectively. The mean width of the AD and SMC was more in females than in males (20.96 vs. 18.98 mm and 14.24mm vs. 13.45mm respectively). In 36 cases (80 %), across the spectrum of ARM, the SMC was posterior in relation to the AD. In 7 cases (15.5 %) it correlated in position with the AD and in 2 cases (4.44 %), it was anterior to the AD.

CONCLUSIONS

In the majority of cases AD and SMC were 'well developed' and the location of the SMC does not correlate with that of the AD. This has significant practical value in the important step of optimizing the placement of the rectum through the center of the SMC during repair.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe9/9350651/d6446c59b14e/JIAPS-27-185-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe9/9350651/d97e18b58d85/JIAPS-27-185-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe9/9350651/2806c48cce70/JIAPS-27-185-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe9/9350651/8261629b53bc/JIAPS-27-185-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe9/9350651/d6446c59b14e/JIAPS-27-185-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe9/9350651/d97e18b58d85/JIAPS-27-185-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe9/9350651/2806c48cce70/JIAPS-27-185-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe9/9350651/8261629b53bc/JIAPS-27-185-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe9/9350651/d6446c59b14e/JIAPS-27-185-g004.jpg

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本文引用的文献

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The position of the anal dimple in newborns and infants with anorectal malformations and its correlation with the normal anal position.患有肛门直肠畸形的新生儿和婴儿中肛门窝的位置及其与正常肛门位置的相关性。
J Pediatr Surg. 2018 Aug;53(8):1560-1565. doi: 10.1016/j.jpedsurg.2017.11.043. Epub 2017 Nov 16.
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