Imperforate Anus (repair)
Imperforate Anus is a congenital defect where the opening to the anus is missing or blocked. Imperforate anus may occur in several forms. The rectum may end in a blind pouch that does not connect with the colon. Or, it may have openings to the urethra, bladder, base of penis or scrotum in boys, or vagina in girls. A condition of stenosis (narrowing) of the anus or absence of the anus may be present.
The problem is caused by abnormal development of the fetus, and many forms of imperforate anus are associated with other birth defects. It is a relatively common condition that occurs in about 1 out of 5,000 infants.
The surgery was done laparascopically. First the bowel was cut away from any tissue and membrane and moved into position in order to pull through to the anus area. The area is then checked with muscle stimulator in order to check the availability of the sphincter. Then a small incision is made and then they put a tapered bar in order to pull out the bowel to the surface of the anus. Then it is stitched into place. The bowel needs to be checked to see if any part is twisted to make sure no twisting occurs.
The surgery was pretty amazing. It was such a life threatening condition, and it was so rewarding to see the surgeon talk to the baby’s parents afterwards and to be able to tell them everything went great.
p.s. the baby’s bottom looked so sore, poor kid.