| 6.) What are the surgical options for management of imperforate anus?
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Low anomalies may be repaired in the neonate by perineal anoplasty using a
muscle stimulator to locate the sphincter complex.
High anomalies may be approached in two ways:
- If the rectal gas is below the coccyx and there are no other anomalies,
a repair may be done primarily either laparoscopically or by a posterior saggital approach.
- If the rectal gas is above the coccyx or there are associated defects, a
colostomy is done first with definitive repair at a later date.
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