STUDY OF CASES OF ARM IN RURAL POPULATION

Abstract

introduction

Anorectal malformations (ARMs) comprise a spectrum of birth defects in newborn male and female children which include rectum, anal canal, genitalia and urinary tract. ARMs incidence ranging 1:2000-5000 live birth.^1,2The spectrum of ARM varies from mild anterior displacement of anus to complex anomalies such as cloacal exstrophy.^[4] The main goal of management is correct diagnosis and surgery so as to achieve good anatomic and functional outcome so that a child can lead his or her life as normal as possible.

MATERIAL AND METHODS

All children of pediatric age group from 0 to 15 years admitted in surgical wards and/or pediatric wad of Index Medical College, Hospital and Research Centre, Indore with diagnosis of Anorectal Malformations who will undergo all stage of treatment and follow-up. This was prospective and observational study.

DISCUSSION

The management of infants with ARM continues to be a challenge to pediatric surgeons, worldwide. For better results, precise anatomical reconstruction and careful preservation of Structure is required. ARM being a complex group of disorders, is not easy to diagnose at primary healthcare level. The social awareness about the disease is low and it also varies with Sex of child, place of living and education of parents.

CONCLUSION 

Anorectal malformation is a surgically treatable entity. Early restorative surgery leads to good outcome. Time being the essence, awareness about the condition, hospital delivery and detailed neonatal examination is advisable. In developing countries like India, where illiteracy and poverty are prevalent and where there is neglect of female child, early diagnosis and referral to specialty centres for surgery is always commendable in terms of social acceptance and a sound psyche.