Preliminary Analysis of the Surgical Treatment of Anorectal Malformations in Russia

Abstract

The article provides the analysis of a survey of the professional community of Russian pediatric surgeons, dedicated to the treatment of anorectal malformations (ARM). The authors evaluated the differences and similarities in classification, surgical procedures, time of definitive repair, and postoperative management of ARM in different hospitals and centers. This was done by a survey upon specialists and experts in Russia followed by a symposium with live surgery, open discussion, and vote. Overall, 85% of the delegates supported the idea to create several regional centers of pediatric coloproctology as the way to improve the treatment of ARM in Russia. Moreover, 80% of delegates agreed to create a universal database of ARM information. The development of neonatal surgery and videoendoscopic surgical methods in the treatment of patients with ARM requires creation of a national guideline by the Russian Association of Pediatric Surgeons. Next step will concern standardization of the diagnosis and surgical treatment of children with ARM. This study is a collaborative effort to provide Russian Consensus on treatment of ARM.

Keywords

anorectal malformations - Russian consensus - pediatric coloproctology

• References

• 1 Lenyushkin AI. Surgical Coloproctology in children [Khirurgicheskaya koloproktologiya u detey]. Moscow: Meditsina; 1999
• 2 Abdur-Rahman LO, Shawyer A, Vizcarra R, Bailey K, Cameron BH. Do geography and resources influence the need for colostomy in Hirschsprung's disease and anorectal malformations? A Canadian association of paediatric surgeons: association of paediatric surgeons of Nigeria survey. Afr J Paediatr Surg 2014; 11 (2) 150-157
• 3 Clermidi P, Podevin G, Crétolle C, Sarnacki S, Hardouin JB. The challenge of measuring quality of life in children with Hirschsprung's disease or anorectal malformation. J Pediatr Surg 2013; 48 (10) 2118-2127
• 4 Wijers CH, de Blaauw I, Marcelis CL , et al. Research perspectives in the etiology of congenital anorectal malformations using data of the International Consortium on Anorectal Malformations: evidence for risk factors across different populations. Pediatr Surg Int 2010; 26 (11) 1093-1099
• 5 Bischoff A, Levitt MA, Peña A. Update on the management of anorectal malformations. Pediatr Surg Int 2013; 29 (9) 899-904
• 6 Bischoff A, Peña A, Levitt MA. Laparoscopic-assisted PSARP - the advantages of combining both techniques for the treatment of anorectal malformations with recto-bladderneck or high prostatic fistulas. J Pediatr Surg 2013; 48 (2) 367-371
• 7 Rintala RJ. Congenital anorectal malformations: anything new?. J Pediatr Gastroenterol Nutr 2009; 48 (Suppl. 02) S79-S82
• 8 Baranov AA, Namazova-Baranova LS, Al'bitskiy VYu. Preventive paediatrics — new challenges [in Russian]. Voprosy Sovremennoy Pediatrii 2012; 11 (Suppl. 02) 7-10
• 9 Geras'kin AV, Mokrushina OG, Morozov DA, Akhunzyanov AA, Gumerov AA. State and prospects of improvement of surgical newborns with congenital defects [in Russian]. Rossiyskiy vestnik perinatologii i pediatrii 2009; 54 (Suppl. 06) 7-12
• 10 Khamatkhanova EM, Kucherov YuI, Frolova OG , et al. Ways to improve the quality of medical care for congenital malformations[in Russian]. Akusherstvo i ginekologiya 2011; 4: 79-84
• 11 Morozov DA, Okulov EA, Pimenova ES. Russian consensus on the surgical treatment of children with anorectal malformations. The first steps. Rossiyskiy vestnik detskoy khirurgii, anesteziologii i reanimatologii 2013; 4: 8-13
• 12 Holschneider A, Hutson J, Peña A , et al. Preliminary report on the International Conference for the Development of Standards for the Treatment of Anorectal Malformations. J Pediatr Surg 2005; 40 (10) 1521-1526