Primary Definitive Procedure versus Conventional Three-staged Procedure for the Management of Low-type Anorectal Malformation in Females: A Randomized Controlled Trial.

In such cases, even after definitive surgery, the dilated rectum does not recover its normal peristalsis.[ 10 ] In a series of 14 cases of low ARM published by Haider and Fisher, there were 4 such cases (28.6%) that required a defunctioning colostomy to allow decompression and recovery of the rectum before delayed reconstruction up to 3–6 months later.[ 11 ] In the present study, an older mean age was noted in children who had wound dehiscence (29.4 ± 41.9 months) as compared to children who did not (16.3 ± 23.3 months) although this difference did not reach statistical significance ( P = 0.115).

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