Anorectal malformations

Abstract

Anorectal malformations (imperforate anus) are a class of congenital anomalies that are represented by a wide spectrum of defects, some relatively mild and some quite severe. The most feared sequelae associated with the care of these defects is fecal incontinence, but the majority of patients can achieve a good degree of bowel control, provided they receive expert surgical care, adequate postoperative treatment, and routine long-term follow-up. Minimally invasive techniques for repair are now part of the routine armamentarium and can be safely used for certain malformations with equivalent outcomes to open repair. A multidisciplinary team approach affords these patients the best possible outcome. Long-term functional status and quality of life are areas in need of close follow-up and further analysis.