Live
- AIIMS adds 2 new MRI machines to provide more efficient & timely radiology diagnosis
- Ram Gopal Varma evades police questioning
- NFR's top Safety Officer missing after being swept away in Arunachal Pradesh's Lohit River
- Sensex closes up by 992 points, Adani Ports, L&T top gainers
- Heatwave driving elevated blackout risk in Australia's most populous state
- Two autopsy assistants of RG Kar arrested on extortion charges
- Tigress ‘Zeenat’ released into wild in Similipal
- Winning bypolls does not mean Karnataka govt is scam-free: BJP
- SIT and CBI Investigate Adulterated Ghee in Srivari Laddu Prasadam
- 'Hum Honge Kamyaab': MP's social awareness campaign for women's safety
Baby born without anal opening successfully treated
Dr Mukunda Ramachandra
In an incident, a baby born outside hospital was noted to have an absent anal opening and was referred to Rainbow Bannerghatta Road for further treatment.
Bengaluru: In an incident, a baby born outside hospital was noted to have an absent anal opening and was referred to Rainbow Bannerghatta Road for further treatment. The Pediatric Urologist, Rainbow Children's Hospital, Dr Mukunda Ramachandra said, "Upon examination after six hours of birth, there was an absent anal opening with thin midline raphe extending up to mid part of scrotum. Hence, the baby was given supportive care. After 24 hours, we noticed meconium ( the early stool passed by a newborn soon after birth, before the baby starts to feed and digest milk or formula) extending up to the scrotum in Midline. The baby boy was taken for surgery, fistulous connection was dissected from scrotum and the track dissection was continued up to the rectum."
"The anterior wall of Rectum was separated from the urethra. Rectum was further mobilised and the fistula was excised. Anoplasty was done in the limits of the Sphincter complex. The baby was shifted to the NICU, and supportive care was given after the surgery. Feeds were started on post-operative day five and discharged on day seven of hospitalisation. If the baby born with an absent anal opening is found, such babies need proper evaluation to determine type of Ano-rectal malformation (ARM)," he said.
He added, If it is Low ARM, a single stage surgery can be performed. In case of a High ARM, it would require Staged repair. In a baby boy born with absent anal opening, we have to wait 18-24 hours to diagnose the difference between Low ARM and High ARM before taking the baby for surgery.
