ArticlePediatric surgery international2012
Practice of dilatation after surgical correction in anorectal malformations.
Article in Pediatric surgery international, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 33 citations in OpenAlex.
- Worldwide paediatric surgical practice regarding post-reconstruction anal dilatation in anorectal malformation: an international survey.Pediatric surgery international · 2026Article
- Parental attitudes to neoanus dilatations post-reconstruction in anorectal malformations (PANDA) study.Pediatric surgery international · 2025Article
- More harm than good? Parental perspectives on dilatations in anorectal malformations.Pediatric surgery international · 2025Article
- The use of postoperative calibrations in Hirschsprung disease: a practice to reconsider?Pediatric surgery international · 2024Article
- The European Anorectal Malformation Network (ARM-Net) patient registry: 10-year review of clinical and surgical characteristics.The British journal of surgery · 2024Review
- A scoping review of the post-discharge care needs of babies requiring surgery in the first year of life.PLOS global public health · 2023Article
- Pelvic exams and cervical cancer screening in patients with anorectal malformations.Pediatric surgery international · 2022Article
- Stricture rate in patients after the repair of anorectal malformation following a standardized dilation protocol.Pediatric surgery international · 2022Article
- Clinical Differentiation between a Normal Anus, Anterior Anus, Congenital Anal Stenosis, and Perineal Fistula: Definitions and Consequences-The ARM-Net Consortium Consensus.Children (Basel, Switzerland) · 2022Article
- General complications after surgery for anorectal malformations.Pediatric surgery international · 2020Review
- Article
- European consensus meeting of ARM-Net members concerning diagnosis and early management of newborns with anorectal malformations.Techniques in coloproctology · 2015Article
- The candle as an improvised anal dilator following surgery for anorectal malformation.African journal of paediatric surgery : AJPSArticle
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Authors and funding
21 authors at 14 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn order to prevent stricture of the neoanus after surgical correction, regular dilatation is recommended. There is a lack of knowledge about the performance of anal dilatation and the occurrence of pain. The aim of our investigation was to describe the practice of dilatation and to identify possible risk factors for painful procedures.
methodsCongenital Uro-Rectal Malformations Network is a German interdisciplinary multicenter research network. With standard questionnaires, physicians interviewed 243 patients and/or their parents at home, additional 103 patients born since 2009 were assessed through their treating physicians.
resultsIn total, 88 % of the patients received dilatations. Treatment lasted for 7 months in median (range 1-156 months), until the age of 13 months (range 1-171 months). In 69 % painful dilatation was reported; without a significant differences in age or gender. In 32 % bleeding was reported. In 30 % at least one dilatation was performed under general anesthesia. In 11 % some kind of analgesia was used. Type of fistula, dilatations lasting longer than 10 months and Hegar size above 15 were relevant factors for experience of pain. There were about 16 % postoperative strictures of the neoanus, without reported differences in dilatation procedures; but there was a relation to type of malformation.
conclusionConsidering the high number of painful treatments, predictors for painful dilatations should be further clarified through standardized documentation and prospective evaluation in order to improve follow-up.
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