Techniques for Congenital Anal Deformity Encountered in Later Life

  • Charles V. Mann
  • Richard E. Glass


Most cases of congenital abnormality of the ano-rectum are seen at, and treated soon after, birth [1,4,6,8]. Many of these abnormalities cause immediate problems of obstruction and have to be operated on as emergencies. It is rare nowadays for cases of imperforate anus or Hirschsprung’s disease not to undergo definitive operations during the first year(s) of life to correct the underlying abnormalities. However a few children are able to survive in spite of a congenital abnormality when the obstructive element is weak. There are two different routes by which such rare children progress untreated up to adult life. The first is following faulty partial surgical correction of a low type of imperforate anus. In these babies, the correct diagnosis is made, but the surgical incision to open the obstructed orifice (usually a “covered-anus” deformity) is placed in the wrong position, so creating in effect a fistulous opening that lies outside the anal ring (usually anteriror to the anal muscles).


Pelvic Floor Anal Canal Anal Incontinence Sphincter Muscle Posterior Vaginal Wall 
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References and Further Reading

  1. 1.
    Browne D (1955) Congenital deformities of the anus and rectum. Arch Dis Child 30: 42PubMedCrossRefGoogle Scholar
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    De Vries P, Pena A (1982) Posterior sagittal anorectoplasty. J Pediatr Surg 17: 638CrossRefGoogle Scholar
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    Marti MC, Givel JC (1989) Surgery of ano-rectal diseases. Springer, Heidelberg and New York, pp 297–304Google Scholar
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    Nixon H, (1985) Congenital deformities of the anorectal region. In: Surgery of the anus, rectum and colon, 5th edn. Balliere Tindall, London, pp 285–304Google Scholar
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    Pena A (1985) Posterior sagittal approach for the correction of anorectal malformations. Year Book Med Pubi Chicago, 19: 69Google Scholar
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    Pena A (1989) Surgical management of ano-rectal malformations. Springer, Heidelberg and New YorkGoogle Scholar
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    Pena A (1989) In: Corman ML (ed.) Colon and rectal surgery, 2nd edn. Lippincott, Philadelphia, pp 270–271Google Scholar
  8. 8.
    Smith ED (1976) The identification and management of ano-rectal anomalies. The factors ensuring continence. Prog Pediatr Surg 9: 7PubMedGoogle Scholar
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    Stephens FD, Smith ED (1986) Classification, identification and assessment of surgical treatment of ano-rectal anomalies. Pediatr Surg Int 1: 200CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 1997

Authors and Affiliations

  • Charles V. Mann
    • 1
    • 2
  • Richard E. Glass
    • 3
  1. 1.Northwick Park and St Marks Hospital TrustHarrowUK
  2. 2.The Royal London Hospital TrustLondonUK
  3. 3.Princess Margaret HospitalSwindonUK

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