FEMALE ALGORYTH

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• FEMALE ALGORYTH
• Female Newborn with anorectal malformation
• Perineal Inspection
• With fistula
• (90 of cases)
• Perineal (cutaneous) Cloaca Vaginal or
  
• Fistula
  Vestibular

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• Limited PSARP Rule out
• Without Colostomy and treat
  Colostomy
• ( New Born) urinary obstruction
• Colostomy and sometimes PSARP
• Vaginostomy (Hidrocolpos)
• Rule out
• Associated malformations
• Verify normal growth
• 2-4 weeks.
• PSARVUP

4-6 months
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• Perineal Inspection
• Without fistula (10 of cases)
• Invertogram
• More than 1 cm Less than 1
  cm
• Above the skin above the
  skin
• Colostomy Limited PSARP
  without
• 
  Colostomy.

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• MALE ALGORYTH
• Male Newborn with anorectal malformation
• Perineal Inspection and urinalysis
• Anal membrane Questionable Flat bottom
• Bucket Handle Clinical evidence Meconium
• Sub-epithelial (10-20 of cases) in
  urine.
• Midline raphe-
• Fistula anterior
• Anus anal stenosis

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• Limited PSARP
• Without Colostomy Invertogram Colostomy
  Colostomy
• ( New Born)
• Less than 1 cm More than 1 cm
• above the skin above the skin
• PSARP
• Rule out associated malformations verify normal
  growth 2-4 weeks.

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SIGMOIDOSTOMIA
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GRACIAS