Journal of Pediatric Surgery 49 (2014) 1237–1241 Contents lists available at ScienceDirect Journal of Pediatric Surgery journal homepage: www.elsevier.com/locate/jpedsurg Outcome of patients after single-stage repair of perineal fistula without colostomy according to the Krickenbeck classification Kin Wai Edwin Chan ⁎, Kim Hung Lee, Hei Yi Vicky Wong, Siu Yan Bess Tsui, Yuen Shan Wong, Kit Yi Kristine Pang, Jennifer Wai Cheung Mou, Yuk Him Tam Division of Paediatric Surgery and Paediatric Urology, Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong a r t i c l e i n f o Article history: Received 21 August 2013 Received in revised form 6 November 2013 Accepted 12 November 2013 Key words: Anorectal malformation Perineal fistula Krickenbeck Single stage repair a b s t r a c t Purpose: The aim of the study is to assess the characteristics and outcome of anorectal malformation (ARM) patients who underwent single-stage repair of perineal fistula without colostomy according to the Krickenbeck classification. Methods: From 2002 to 2013, twenty-eight males and four females with perineal fistula who underwent single-stage repair without colostomy in our institute were included in this study. Patients with perineal fistula who underwent staged repair were excluded. Demographics, associated anomalies, and operative complications were recorded. The type of surgical procedures and functional outcome were assessed using the Krickenbeck classification. Results: Six patients had associated anomalies, including two patients with renal, two with cardiac, one with vertebral, and one with limb abnormalities. Thirteen patients underwent perineal operation, and fourteen patients underwent anterior sagittal approach in the neonatal period. One patient underwent anterior sagittal approach, and four patients underwent PSARP beyond the neonatal period. One patient had an intra-operative urethral injury and one a vaginal injury. Complications were not associated with the type of surgical procedure (p = 0.345). All perineal wounds healed without infection. By using the Krickenbeck assessment score, all sixteen children older than five years of age had voluntary control. One patient had grade 1 soiling, and no patient had constipation. Conclusions: Single-stage operation without colostomy was safe with good outcomes in patients with perineal fistula. The use of Krickenbeck classification allows standardization in assessment on the surgical approach and on functional outcome in ARM patients. © 2014 Elsevier Inc. All rights reserved. Traditionally, anorectal malformations (ARM) were classified as high, intermediate or low anomalies according to the Windspread classification [1]. According to Peña, a colostomy was performed in all children with ARM [2]. In children with perineal fistula, the approach of definite repair was posterior sagittal anorectoplasty (PSARP) [2]. Recently, there were reports evaluating a single-stage repair in patients with perineal fistula without a colostomy [3,4]. Anoplasty, cutback operation or anterior sagittal anorectoplasty (ASARP) was the technique reported [3,4]. Regarding the tools used in outcome assessment, varied assessment scoring systems were adopted worldwide [5]. With the presence of different classification systems, it was difficult to compare the outcomes in patients with ARM between different centers. Since the introduction of the Krickenbeck classification in 2005 [6], there have been an increasing number of publications using this system to classify the anatomy and assess postoperative results [7–9]. ⁎ Corresponding author at: Division of Paediatric Surgery & Paediatric Urology, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China. Tel.: +86 852 26322953. E-mail address: edwinchan@surgery.cuhk.edu.hk (K.W.E. Chan). http://dx.doi.org/10.1016/j.jpedsurg.2013.11.054 0022-3468/© 2014 Elsevier Inc. All rights reserved. However, a report which only focused on patients with perineal fistula using the Krickenbeck classification was lacking. The assessments of children with perineal fistula (Fig. 1) were often grouped together with patients with vestibular fistula or with patients without a fistula as ‘low-type’ ARM [10,11]. The aim of this study is to assess the surgical procedures (Table 1) and outcome (Table 2) of patients with perineal fistula using the Krickenbeck classification. 1. Materials and methods From January 2002 to June 2013, 28 males and 4 females with perineal fistula in our institute were included in this study. Our hospital is a tertiary referral pediatric surgical center. All patients presenting with a perineal fistula underwent single-stage repair without protective colostomy. Patients with perineal fistula who underwent colostomy in other hospitals or patients who underwent initial colostomy because the perineal fistula was not apparent at birth were excluded from this study. VACTERL screening was performed in all patients born with perineal fistula. Demographics and associated anomalies were recorded. The surgical procedure was classified according to the Krickenbeck system. 1238 K.W.E. Chan et al. / Journal of Pediatric Surgery 49 (2014) 1237–1241 Table 2 International classification (Krickenbeck) for postoperative results. 1. Voluntary bowel movements Yes/no Feeling of urge, capacity to verbalize, hold the bowel movement Fig. 1. A female with a perineal fistula. The principle of the operation was to mobilize and place the anorectum within the sphincter complex. 2. Soiling Yes/no Grade 1 Grade 2 Grade 3 Occasionally (once or twice per week) Every day, no social problem Constant, social problem 3. Constipation Yes/no Grade 1 Grade 2 Grade 3 Manageable by changes in diet Requires laxative Resistant to laxatives and diet fistula opening. The mobilization of anorectum and reconstitution of the perineal body are similar to the technique described in the anterior sagittal approach. 2. Operative technique 6. Post-operative management Parenteral antibiotics (cefuroxime and metronidazole) were given on induction of general anesthesia. A urethral catheter was placed preoperatively. In neonates, the patient was positioned supine with both legs wrapped, elevated and fixed to the handle bar of the operative table. For patients who underwent operation beyond the neonatal period, dilatation of the fistula opening was performed regularly before the operation. Rectal washout was performed the day before operation. The use of the anterior sagittal approach or posterior sagittal anorectoplasty (PSARP) depended on the surgeon’s preference. The center of the sphincter complex was defined by an electrical muscle stimulator. In all the cases, rectal washout was performed after the anoplasty but before reversal of general anesthesia. The definition of different surgical approaches was described as follows: Parenteral antibiotics were continued for 5–7 days post-operatively. Feedings were started 2–3 days after the operation. The perineal wound was irrigated with saline solution three times per day in the early post-operative period. Anal dilatation was started 2 weeks after the operation. The dilatation was carried out regularly 3. Perineal operation The patient was placed in a supine position. Only a limited perineal dissection was required to mobilize and place the anorectum within the sphincter complex because the fistula opening was close to the sphincter complex (Fig. 2). 4. Anterior sagittal approach The patient was placed in a supine position. A more extensive mobilization of anorectum and reconstitution of the perineal body were required in order to place the anorectum within the sphincter complex (Fig. 3). 5. PSARP The patient was placed in a prone position. The incision was extended from the posterior border of the sphincter complex to the Table 1 International grouping (Krickenbeck) of surgical procedures for follow-up. Perineal operation Anterior sagittal approach Sacroperineal procedure PSARP Abdominosacroperineal pull-through Abdominoperineal pull-through Laparoscopic-assisted pull-through Fig. 2. (A) A patient with the anorectum located slightly anterior to the sphincter complex. (B) Perineal dissection was performed. K.W.E. Chan et al. / Journal of Pediatric Surgery 49 (2014) 1237–1241 1239 had delayed diagnosis. The diagnosis of ARM was missed in the neonatal check-up. They presented with constipation and the actual diagnosis was made at 8 and 12-months-old respectively. One patient underwent anterior sagittal approach and the other a PSARP. Intra-operative complications encountered in this study included urethral injury in a boy during anterior sagittal approach and a girl who suffered a vaginal injury during PSARP. The injuries were noted and repaired intraoperatively with no adverse outcome. Regarding the risk of intra-operative complication, no significant differences were observed between the perineal operation group and the anterior sagittal approach/PSARP group (p = 0.345) (Table 3). Post-operatively, all perineal wounds healed without infection. There were no instances of wound dehiscence or rectal prolapse. None of the patients required a salvage colostomy. All 16 children older than 5 years of age had voluntary control. One patient had grade 1 soiling and none of the patients had constipation (Table 4). There was no instances of urinary incontinence. The two patients with delayed diagnosis were too young for the functional outcome assessment. 8. Discussion Fig. 3. (A) Another patient with perineal fistula. (B) Anterior sagittal approach was performed. up to a 14 Hegar dilator size. A bowel management program involving the pediatric surgeons and nurse specialists was offered to all patients. Post-operative complications including wound infection, wound dehiscence, rectal prolapse and the need of colostomy were recorded. The functional outcome was assessed in patients older than 5 years of age using the Krickenbeck classification. Statistical analysis was accomplished using the SPSS program for Windows 15.0 (SPSS, Chicago, Illinois, USA). Fisher exact test was used to compare the categorical data with a p b 0.05 considered statistically significant. The study was approved by the local clinical research ethical committee. 7. Results On VACTERL screening, 6 patients had associated anomalies. Two patients had cardiac anomalies including one with an atrial septal defect and one with pulmonary artery branche turbulence. Two patients had renal anomalies including 1 with a horseshoe kidney and 1 with vesicoureteral reflux. One patient had spina bifida occulta and one had an extra-thumb. Regarding the patient with spina bifida occulta, the MRI did not detect any spinal cord anomaly. The surgical procedures performed are listed in Fig. 4. Regarding the three patients who were diagnosed with ARM at birth but the operation was performed beyond the neonatal period; were labeled as anterior displaced anus at birth. Regular anal dilatation was carried out until PSARP was performed at 1–3 months of age. Two patients Two infants had delayed diagnosis. If the diagnosis was made at birth, traditionally they were described as having an anterior displaced anus. These patients were now grouped under the category of ‘perineal fistula’ according to the Krickenbeck classification [3]. When the diagnosis was made at birth, regular dilatation of the perineal openings was performed and effective passage of feces was observed in the neonatal period [7]. However, children with delayed diagnosis presented with constipation after the introduction of more solid food as noticed in this study. In those children with this diagnosis at birth, we would delay the repair after the neonatal period after considering the non-urgent status of this condition and to balance the risk of general anesthesia in the neonatal period. In performing a neonatal repair, placing the patient in the supine position can provide excellent exposure of the perineum and eliminate the possible adverse effects in ventilation when the neonate is placed in prone position. Harjai et al. preferred the use of anterior sagittal approach in the management of vestibular fistula as it may provide better exposure for the anterior dissection where separation of the vagina and rectum takes place under direct vision [12]. We observed the operative view when the patients were positioned in supine position was as good as the prone position. The most obvious advantage of single-stage repair of perineal fistula is to avoid 2 additional operations. Besides, colostomy related complications were not uncommon [13]. Peña et al. reported 616 colostomy related complications in 464 ARM patients [13]. However, a single-stage operation was not entirely without risk [10]. In our study, one patient has urethral injury and one a vaginal injury. They all underwent a more extensive sagittal approach (Table 3). The urethra in the male and the vagina in the female were in fact in close proximity with the fistula opening. Despite placing a urethral catheter in all the cases, meticulous dissection is still required during dissection of the anterior rectal wall. Of course with less dissection, the chance of injury to surrounding tissue is reduced. Pakarinen et al. compared anoplasty to PSARP and concluded that anoplasty was safer and less prone to complications [7]. However, since the principle of the operative approach was different, their conclusion cannot directly be applied in this study. All patients were free of perineal wound infection post-operatively. Since the majority of the cases were operated in the early neonatal period, neonatal repair may be one of the reasons for the zero infection rate. Albanese et al. performed a one stage repair for ‘high’ type anorectal malformation and no perineal wound infection was observed [14]. They suggested the neonatal bowel was theoretically sterile when the surgery was performed. A proper peri-operative care program 1240 K.W.E. Chan et al. / Journal of Pediatric Surgery 49 (2014) 1237–1241 ARM with perineal fistula n = 32 (28M, 4F) Diagnosis at birth Delay in diagnosis n = 30 (27M, 3F) n = 2 (1M, 1F) Operation within Operation beyond Anterior sagittal PSARP neonatal period neonatal period Approach n = 1 (F) n = 27 (26M, 1F) n = 3 (1M,2F) n = 1 (M) Perineal operation PSARP n = 13 (12M,1F) n = 3 (1M,2F) Anterior sagittal approach n = 14 (14M) n=number of patients, M=male, F=Female Fig. 4. A flow chart showing the surgical procedures performed in ARM patients with perineal fistula according to the Krickenbeck classification. n = number of patients, M = male, F = Female. consisted of antibiotics, rectal washout and wound irrigation was essential for successful single stage repair without the need of salvage colostomy [15]. In this study, using the Krickenbeck classification, all patients were free from constipation and only 1 patient had grade 1 soiling. Constipation was reported as a major problem in patient with ‘lowtype’ ARM including patients with perineal fistula. The incidence of constipation is around 50% in various reports [4,7,16]. Of course it was very difficult to compare the results since the inclusion criteria of the various studies were different. Some studies included patients with anal stenosis or vestibular anus. Hassett et al. studied the 10 year outcome in all ARM patients using the Krickenbeck classification after PSARP [4]. 21% of patients with perineal fistula had grade 2 constipation and 1 patient required a Malone antegrade continence enema (MACE), but since this study involved all ARM patients, clinical details including the associate anomalies and the incidence of protective colostomy in patients with perineal fistula were not documented. Associated anomalies, in particular spinal anomalies may have adverse effect in the functional outcome [4]. Overall the incidence of associated anomalies was 19% but none of the patients had spinal cord anomalies. The incidence is lower when compared with other reports. Hassett et al. reported 31% of patients with perineal fistula Table 3 Relationship between the type of surgical procedures and the incidence of complications. Table 4 Functional outcome of the 16 children older than 5 years of age according to the Krickenbeck assessment system. Surgical procedures Number of patients Complications⁎ p value Surgical procedures Voluntary control Constipation Soiling Perineal dissection Anterior sagittal approach/PSARP Total number 13 19 32 0 2 2 0.345 Perineal operation (n = 8) Anterior sagittal approach (n = 7) PSARP (n = 1) 8 7 0 0 1 (Grade 1) 0 1 0 0 ⁎ Complications – 1 patient had urethral injury and 1 patient had vaginal injury. K.W.E. Chan et al. / Journal of Pediatric Surgery 49 (2014) 1237–1241 had associate anomalies using the Krickenbeck classification [4]. Screening for associated anomalies is required in patients with perineal fistula [17]. We believe one of the reasons for the good functional outcome achieved was to place the anorectum within the sphincter complex. In contrast to previous reports, the aim of ‘anoplasty’ was not to place the anorectum within the sphincter complex [16]. They suggested the fistula opening although anteriorly displaced, was still partially encased by the sphincter [7,16]. Pakarinen et al. reported there was no difference in outcome between anoplasty and PSARP in the management of perineal fistula [16]. In their study, 43% of children after anoplasty and 60% children after colostomy had constipation. However a recent study using 3D reconstruction showed the vertical sphincter fibers did not wrapped around the distal end of the perineal fistula [18]. The author suggested using the cutback technique it was difficult to place the anorectum into the sphincter complex. In addition, Lombardi et al. noticed abnormalities of the muscle coat and the nervous system of the anorectal canal in patients with perineal fistula. They suggested resection of the distal fistula may permit a better functional result [19]. The majority (90%, 27/30) of patients with the diagnosis at birth underwent primary operation within 72 hours after birth. Even in patients who underwent anal dilatation, operation was carried out within 3 months of age. The brain-defecation reflex can be maintained in patients that underwent early operation and may lead to a better functional outcome [14,20]. In addition, the implementation of a post-operative bowel management program was an important factor that contributed to the good outcome [21]. Our experience show that single-stage repair of perineal fistula with the aim in placing the anorectum within the sphincter complex is safe, feasible and is associated with a good functional outcome. The use of the Krickenbeck classification allows more standardized documentation of the diagnosis, procedure and the outcome. A more direct comparison of our results with future studies in other institutions is possible. Disclosures Drs. Kin Wai Edwin Chan, Kim Hung Lee, Hei Yi Vicky Wong, Siu Yan Bess Tsui, Yuen Shan Wong, Kit Yi Kristine Pang, Jennifer Wai Cheung Mou, Yuk Him Tam have no conflicts of interest or financial ties to disclose. Acknowledgments Nil. 1241 References [1] Murphy F, Puri P, Hutson JM, et al. Incidence and Frequency of Different Types, and Classification of Anorectal Malformations, in Holshneider AM, Hutson JM (eds): Anorectal Malformations in Children. Springer-Verlag Berlin, pp163-84. [2] deVries P, Pena A. Posterior anorectoplasty. J Pediatr Surg 1982;17:638–43. [3] Kuijper CF, Aronson DC. Anterior or posterior sagittal anorectoplasty without colostomy for low-type anorectal malformation: how to get a better outcome? J Pediatr Surg 2010;45(7):1505–8. 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