A new born baby presents with absent anal orifice and meconuria. What is the most appropriate management?: (A) Transverse colostomy, (B) Conservative, (C) Posterior Saggital Anorectoplasty, (D) Perenial V-Y plasty
Answer is A. Imperforate anus # A rare congenital disorder # Classified as being high or low depending on the site of the rectal termination in relation to the pelvic floor # Low defects: relatively easy to correct but prone to constipation # High defects: more difficult to correct and prone to faecal incontinence Ref: Bailey & Love&;s Sho Practice of Surgery,E25,Page-1247