October 8, 2025Oct 8 quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth -"When a baby is born with this malformation at our institution, we repair this malformation during the newborn period if the baby is otherwise healthy. If the baby is premature or has associated defects, it is always safer to open a protective colostomy or dilate the fistula until definitive repair can be performed. The surgeon must keep in mind that dehiscence and infection in patients with anorectal malformations not only represent a few more days in the hospital and an ugly scar but also represent the possibility of worsening the prognosis for bowel control."
October 9, 2025Oct 9 Author In post op management of vestibular anusquote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth -"When the patient is a newborn, we keep the baby 5–7 days with nothing by mouth postoperatively, giving intravenous antibiotics for 24 h. Occasionally, we see patients that come later in life without a colostomy; in those cases, we clean the bowel meticulously the day before surgery with a balanced electrolyte solution and keep the patient 7 days with nothing by mouth, receiving concentrated glucose solution. Following this routine, we reduce the incidence of perianal dehiscence."
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