- Email: [email protected]
Congenital rectovestibular fistula with the normal anus
486
ABSTRACTS
duced the authors to experimentally review this problem. In an experimental series of 12 cats they studied the lesions produced by chronic colic ischemia (1-120 days) at the level of the enteric plexi and of the different intestinal layers. They c o m m e n t upon the macroscopic a n d microscopic morphological findings related to bibliography. They come to the conclusion that the results obtained do not faithfully correspond to Hirschprung's disease.--C. M. AImoyna
Congenital Rectovestibular Fistula with the Normal Anus. K. Sai, J. Uchino and Y. Kasai. J Jap Sac Pediotr Surg 11:521-527 (October), 1975. Five cases of congenital rectovestibular fistula (perineal canal) were reported. Three of them had normal anus and two had anal stenosis. Fifty-five cases were collected from the Japanese literature and by personal c o m m u n i cation. Forty-three of them were congenital in origin (6.1~ of anorectal malformations). Identification and closure of the fistula were easily carried out by perineal approach in all c a s e s . - - H . Suzuki
Fluoroscopic Evaluation of Rectosphincteric Reflex. A. Nagasaki, K. Ikeda, and Y. Hayashida. J Jap Sac Pedia~'rSurg 11:59-64 (April), 1975. Anosphincteric reflex to inflation of a balloon in the rectum was fluoroscopically studied. The upper third of the anal canal was dilated, and the rectoanal angulation opened and m o v e d backwards on rectal distension in normal children and patients with idiopathic constipation, but none of these changes was observed in patients with Hirschsprung's disease. The lack of dilatation of the lower two-thirds of the anal canal on rectal distention was t h o u g h t to be due to the contraction of the external sphincter. The normal rectosphincteric reflex was observed in six of nine postoperative patients with Hirschsprung disease and six of seven children who had a good fecal continence after repair of imperforate anus. In children having fecal incontinence after repair of imperforate anus, the whole anal canal was dilated on rectal distension, showing poor function of the external sphincter.--M. Kasai ABDOMEN
Intra-uterine Diagnosis of Fetal Omphalocele by Amniofetography. K. Yokota, T. Nakajo, H. Uchida, N. Akiyama, K. Aso, and N. Shimada. Jap J Pedlatr Surg Med 7:853-856 (August), 1975.
A m n i o f e t o g r a p h y was carried o u t on a 26-yrold primipara at the 36th week of gestation. She had h y d r o a m n i o s and m a l f o r m a t i o n of the fetus was suspected. Evisceration was demonstrated on the amniofetography and a p r e m a t u r e baby with a large omphalocele was delivered 3 wk later. Repair o f omphalocele with Dacron mesh silastic sheeting prothesis was carried out immediately after birth but the baby died of intracranial bleeding and respiratory failure on the 6th postoperative day. This case seems to be the first one in which antenatal diagnosis of omphalocele was m a d e by a m n i o f e t o g r a p h y . - - H . Suzuki
Prophylactic Interparietal Povidone-lodine in Abdominal Surgery. 0. J. A. Gilmore and P. J. Sanderson. Br J Surg 62:792-799, 1975. A l t h o u g h this is a study of surgery in adults it has obvious implications in the control of w o u n d infection in abdominal surgery in children. O f 144 patients studied, there was postoperative w o u n d infection in 24, 18 in the control group and only six in the group treated by spraying the a b d o m i n a l w o u n d with dry powder povidone-iodine after closing the peritoneum. Although the total n u m b e r of patients is not large, the variable factors in the two groups were analogized, but no significant differences could be found in the two groups with regard to build of the patient, pathology, the particular operation, the type of incision, w o u n d contamination, the particular surgeon, and the use of antibiotics. Consequently this study appears to have eliminated a good m a n y factors which might have induced bias into the study.--R. B. Zachary
Differentiation of Biliary Atresia from Neonatal Hepatitis by Routine Clinical Examination. T. Chiba and M. Kasai. Tohoku J Exp Med 115:327335 (April), 1975.
After analysis of history, physical findings, and daily laboratory examinations in 33 infants with neonatal hepatitis and 90 with biliary atresia, 13 items were chosen for a score test for differental diagnosis between these two diseases: color of feces in the neonatal period, onset of jaundice, Schmidt's test for bilirubin in feces, a -and 3' -globulin, total and direct bilirubin, TTT, ZTT, G O T , GPT, alkaline phosphatase, and phospholipids. In all cases o f biliary atresia, the score test showed a plus score, whereas it showed minus score in all but one case of neonatal hepatitis.
ABSTRACTS
duced the authors to experimentally review this problem. In an experimental series of 12 cats they studied the lesions produced by chronic colic ischemia (1-120 days) at the level of the enteric plexi and of the different intestinal layers. They c o m m e n t upon the macroscopic a n d microscopic morphological findings related to bibliography. They come to the conclusion that the results obtained do not faithfully correspond to Hirschprung's disease.--C. M. AImoyna
Congenital Rectovestibular Fistula with the Normal Anus. K. Sai, J. Uchino and Y. Kasai. J Jap Sac Pediotr Surg 11:521-527 (October), 1975. Five cases of congenital rectovestibular fistula (perineal canal) were reported. Three of them had normal anus and two had anal stenosis. Fifty-five cases were collected from the Japanese literature and by personal c o m m u n i cation. Forty-three of them were congenital in origin (6.1~ of anorectal malformations). Identification and closure of the fistula were easily carried out by perineal approach in all c a s e s . - - H . Suzuki
Fluoroscopic Evaluation of Rectosphincteric Reflex. A. Nagasaki, K. Ikeda, and Y. Hayashida. J Jap Sac Pedia~'rSurg 11:59-64 (April), 1975. Anosphincteric reflex to inflation of a balloon in the rectum was fluoroscopically studied. The upper third of the anal canal was dilated, and the rectoanal angulation opened and m o v e d backwards on rectal distension in normal children and patients with idiopathic constipation, but none of these changes was observed in patients with Hirschsprung's disease. The lack of dilatation of the lower two-thirds of the anal canal on rectal distention was t h o u g h t to be due to the contraction of the external sphincter. The normal rectosphincteric reflex was observed in six of nine postoperative patients with Hirschsprung disease and six of seven children who had a good fecal continence after repair of imperforate anus. In children having fecal incontinence after repair of imperforate anus, the whole anal canal was dilated on rectal distension, showing poor function of the external sphincter.--M. Kasai ABDOMEN
Intra-uterine Diagnosis of Fetal Omphalocele by Amniofetography. K. Yokota, T. Nakajo, H. Uchida, N. Akiyama, K. Aso, and N. Shimada. Jap J Pedlatr Surg Med 7:853-856 (August), 1975.
A m n i o f e t o g r a p h y was carried o u t on a 26-yrold primipara at the 36th week of gestation. She had h y d r o a m n i o s and m a l f o r m a t i o n of the fetus was suspected. Evisceration was demonstrated on the amniofetography and a p r e m a t u r e baby with a large omphalocele was delivered 3 wk later. Repair o f omphalocele with Dacron mesh silastic sheeting prothesis was carried out immediately after birth but the baby died of intracranial bleeding and respiratory failure on the 6th postoperative day. This case seems to be the first one in which antenatal diagnosis of omphalocele was m a d e by a m n i o f e t o g r a p h y . - - H . Suzuki
Prophylactic Interparietal Povidone-lodine in Abdominal Surgery. 0. J. A. Gilmore and P. J. Sanderson. Br J Surg 62:792-799, 1975. A l t h o u g h this is a study of surgery in adults it has obvious implications in the control of w o u n d infection in abdominal surgery in children. O f 144 patients studied, there was postoperative w o u n d infection in 24, 18 in the control group and only six in the group treated by spraying the a b d o m i n a l w o u n d with dry powder povidone-iodine after closing the peritoneum. Although the total n u m b e r of patients is not large, the variable factors in the two groups were analogized, but no significant differences could be found in the two groups with regard to build of the patient, pathology, the particular operation, the type of incision, w o u n d contamination, the particular surgeon, and the use of antibiotics. Consequently this study appears to have eliminated a good m a n y factors which might have induced bias into the study.--R. B. Zachary
Differentiation of Biliary Atresia from Neonatal Hepatitis by Routine Clinical Examination. T. Chiba and M. Kasai. Tohoku J Exp Med 115:327335 (April), 1975.
After analysis of history, physical findings, and daily laboratory examinations in 33 infants with neonatal hepatitis and 90 with biliary atresia, 13 items were chosen for a score test for differental diagnosis between these two diseases: color of feces in the neonatal period, onset of jaundice, Schmidt's test for bilirubin in feces, a -and 3' -globulin, total and direct bilirubin, TTT, ZTT, G O T , GPT, alkaline phosphatase, and phospholipids. In all cases o f biliary atresia, the score test showed a plus score, whereas it showed minus score in all but one case of neonatal hepatitis.