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Imperforate anus, colostomy, new born - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
Doctor :   Hi
Doctor :   Good evening
Doctor :   Dr. XXXXXXXX here
User :   Hi, good evening
Doctor :   How can I help you?
User :   I have question regarding a surgery was made to my new born baby
Doctor :   Proceed with your query.
User :   he born 10 days back, on the same day pediatrician found that anus absent
Doctor :   Ok
User :   they made surgery called colostomy, could you please explain about that in detail. is it something dangerous.?
User :   what precautions do we need to take, what is the next step we need to follow?
Doctor :   Can you clarify whether the surgery is yet to be done or has been done already?
User :   it has been done already
Doctor :   Ok
Doctor :   Absence of anal opening is termed as imperforate anus.
Doctor :   It could be of two varieties - one where the anus develop but fail to open externally, while the other where the rectum closes without anus.
Doctor :   The second variety needs colostomy procedure.
Doctor :   Colostomy is a procedure as you would have seen, a small opening will be made in the abdomen, this will function as anal opening.
Doctor :   Most complications such as bleeding and infection are common in the first few days after the procedure.
Doctor :   Later the surgery, doesn't cause any major side effects.
Doctor :   Proper hygeine is the most important aspect that will need attention here.
Doctor :   Are you following?
User :   yes
Doctor :   So, when ever there are secretions from the opening, the care taker need to wash them immediately and keep the surroundings clean.
Doctor :   This will prevent any untoward complications.
Doctor :   As the child grows, a repeat surgery will be performed, where anus will be created and opened at the normal site, and this opening will be gradually closed.
Doctor :   Have you followed?
User :   yes
User :   i have another question, doctor also told that in both the kidneys ciyst got formed. not sure is that something dangurous
User :   for new born
Doctor :   Imperforate anus are sometimes associated with other abnormalities.
Doctor :   The most common abnormalities are renal and urological ones.
User :   any reason of imperforate anus? why these thing are not fully developed. Did we do any mistakes during pregnancy time?
Doctor :   Imperforate anus statistically is not an uncommon occurrence and can be seen in 1 in 500 new borns.
Doctor :   The cause why this happens is not proved yet.
User :   oh ok.
Doctor :   Most often, the cause is an isolated failure in the developement.
Doctor :   In such cases the anomolies are restricted to the anus, kidney, bladder, and occasionally reproductory organs.
Doctor :   But sometimes, this abnormality could be associated with further abnormalities located to other organs such as heart, digestive system and so on.
Doctor :   Such conditions are usually associated with genetic abnormalities.
Doctor :   I am sure that your pediatrician would have looked for all these abnormalities.
Doctor :   and may have discussed these issues to you, if found.
Doctor :   If none or found, then not a concern.
User :   yes
Doctor :   Renal cysts can some times cause obstructive problems, but the chances of it happening are rare if they are single cysts.
Doctor :   however some time a surgical treatment again may be needed.
Doctor :   Discuss these with your pediatrician.
User :   ok sure
Doctor :   The doctor who has examined your child is at a better position to give you a clear picture than me who is sitting at one end of the computer.
Doctor :   Do you follow?
User :   yes
Doctor :   Do you have any other query?
User :   thanks Dr AAAAAAA i have no query. everything is cleared
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   bye thanks.
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