Results in the treatment of XXXX with special regard to the histology of the rectal pouch.

@entity1 @entity322 @entity1963 @entity2463 @entity20254 @entity615 @entity292 @entity528
The results of surgery for @entity2463 ( @entity2463 ) in 536 @entity1 treated between 1962 and 1993 are presented. Before 1985, @entity1 underwent an abdominoperineal pullthrough for high and intermediate type of @entity2463 , whereas @entity615 or perineoproctoplasty were performed in low type. Since 1985, we have changed our policy and performed a modified posterior sagittal anorectoplasty (PSARP) for intermediate type of @entity2463 , eventually combined with an abdominal mobilization for high type. Perineoproctoplasty was reserved for low type of @entity2463 . Data of 143 @entity1 of Group 1 and 85 @entity1 of Group 2 were available for follow-up. Continence was compared using a clinical score. Good or fair continence was found in 82% of @entity1 operated on before 1985 (low type 85% good, 15% fair, intermediate type 17% good, 50% fair, high type 12% good, 37% fair), comparing to 93% in @entity1 treated after 1985 according to the new regimen (low type 88% good, 6% fair, intermediate type 59% good, 35% fair, high type 43% good, 47% fair). Liquid stools and inability to retain bowel contents were the main problem in the older series, whereas @entity322 could often be attributed to constipation with overflow @entity322 in the recently treated group of @entity1 . Analysis of the innervation of @entity292 and distal rectal pouch in a prospective study comprising 40 of our most recent @entity1 showed normal innervation in only 5% of @entity1 , whereas 66% had @entity528 ( @entity528 ) including @entity1963 , @entity20254 and hypoganglionosis.(ABSTRACT TRUNCATED AT 250 WORDS)
