Balloon Anal Dilatation: An Alternative Technique for Children with Anorectal Malformation
Abdelbasit E Ali1,2*, Nabil Ahmed Shiba1 and Mishraz Shaikh1
1Department of Pediatric Surgery, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia
2Faculty of Medicine, University of Khartoum, Sudan
*Corresponding Author: Abdelbasit E Ali, Department of Pediatric Surgery, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia.
Received: August 24, 2021; Published: September 11, 2021;
Introduction: Regular anal dilatations are commonly practiced following posterior sagittal anorectoplasty (PSARP) in the management of anorectal malformation (ARM). This is necessary to maintain anal patency till stoma closure is achieved. Here, we present an index case of a failed PSARP due to difficult anal dilatation and to describe an alternative technique for anal dilatation.
Case Presentation: A 4-year-old male child required re-do PSARP following a failed repair due to a false anorectal passage as a result of faulty anal dilatation. Following a redo PSARP, patient started on regular balloon anal dilatation (BADi). The technique was convenient to parents, acceptable to the child and provided a satisfactory result.
Conclusion: Balloon anal dilatation (BADi) following anorectolplasty for ARM can be a safe and effective alternative to conventional anal dilatation.
Keywords: Anorectal Malformations; PSARP; Anorectoplasty; Anal Dilatation; Balloon Dilatation
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