Clinical characteristics and therapeutic approach of patients with Anorrectal Malformations in two Hospitals of San Pedro Sula

Abstract

Background: Anorectal malformations (MAR) are composed of a wide range of abnormalities that are associated with several pathologies, affecting both male and female sex, in some cases including the urinary and genital tract. Objective: To describe the clinical characteristics and therapeutic approach of patients with Anorectal Malformations in two hospitals in San Pedro Sula, Honduras, from the years 2012 untill 2016. Patients and Methods: A quantitative, descriptive, cross-sectional study of patients with anorectal malformations was conducted at the Dr. Mario Catarino Rivas National Hospital and the Ruth Paz Hospital of Burned Children and Pediatric Surgery. Results: In terms of sex, 53.2% (n=50) were
women and 46.8% (n=44) men, 30.9% (n=29) were one year old, and 51.1% (n=48) came from the department of Cortes. Perineal fistula was found in 30.2% (n=14) male patients andrectovestibular fistula was found in 37.3% (n=19) females. Association with other types of congenital malformations was found in 29% (n=27) of the patients. The treatment consisted of a protective colostomy followed by a posterior Peña anorectoplasty and finally the program of anorectal dilatations to 59.6%. 85.3% did not present surgical complications. Conclusions: Anorectal malformations in this study affected women more than men; the predominant age was 1 year-old patients, from the department of Cortes, specifically from San Pedro Sula.
Keywords
Anus Imperforate, Cloaca, Fistula, Colostomy