Reavaliação das anomalias anorretais pela classificação de Krickenbeck

• Main Author: Estivalet, Letícia Lopez
• Publication Date: 2017
• Format: Master thesis
• Language: por
• Source: Biblioteca Digital de Teses e Dissertações da PUC_RS
• Download full: http://tede2.pucrs.br/tede2/handle/tede/7808
• topic: Pediatria; Cirurgia; Cirurgia Pediátrica; Malformações Anorretais; Classificação de Peña; Classificação de Krickenbeck; CIENCIAS DA SAUDE::MEDICINA; CIRURGIA::CIRURGIA PEDIATRICA

Introduction: The classifications of anorectal malformations were established with the objective for better classifying each type of malformation and allow the best choice for the surgical approach. With these classifications, it is possible to evaluate the surgical indications, predict how the child will respond to the procedure, as well as they allow comparative studies in different surgical centers. Objectives: The main objective of this work was a reassessment of the patients with anorectal malformations using the Krickenbeck’s classification in a hospital of reference in the south of Brazil. The aim was to compare these results with the previously used Peña’s classification to reevaluate the malformation cases, as well as the surgeries performed. Methods: It was performed a longitudinal, observational, descriptive, census, cohort study on the anorectal malformation cases between May 2017 and August 2017 at the Pediatric Surgery Service from the São Lucas Hospital from the PUCRS. The inclusion criteria was: a. all newborn children with anorectal malformations born in this hospital, b. transferred to this hospital with no previous procedure, and c. which performed a surgical procedure to correct the malformation in the first week of life in this hospital. a. Patients transferred from other hospitals with previous surgeries and b. patients which presented other malformations were excluded from the sample. A descriptive analysis of the incidence of different types of malformations and surgeries was performed and discussed. Results: Few differences were found between the classification of Peña and the classification of Krickenbeck. We found mainly cases of perineal, vestibular, retourethral, rectovaginal and cloaca fistula treated by means of colostomy surgeries and posterior sagittal anorectoplasty. Conclusions: The present study points out that there few differences between the Peña and Krickenbeck classifications. We suggest the use of a classification applied and based on the occurrence of cases of anorectal malformations in this service, containing the main relevant information of both classifications above.