Kenyatta National Hospital in partnership with the University of Nairobi and Kenya Association of Pediatric Surgeons has organized a four day surgical seminar that will involve presentations and live demonstrations of surgeries on patients with Anorectal Malformation.
Anorectal malformation (ARM) is a birth defect where the rectum and the anus do not develop properly during pregnancy. The defect can result to an abnormal anus. The condition is multifaceted meaning it can be characterized by the anus not being present at all, the anus opening in the wrong place or the anus and urinary system sharing an opening. This means that children with Anorectal Malformation have difficulty in passing stool and require surgery to correct the birth defect.
According to Dr. Timothy Jumbi of KNH, ARM is multi-factorial. “It may be inherited. It can also be as a result of the environment one is exposed to or even due to maternal exposure,” says Dr.Jumbi. The condition is diagnosed by conducting an assessment that begins with a physical examination of the neonate.Children with ARM may also develop other congenital anomalies which the pediatrician checks for. Additional diagnostic tests whose choice is determined by any congenital anomaly discovered are also done.
In most cases, the malformation is complex. This necessitates creation of a temporary colostomy which is an operation that diverts the path of stool to a bag. The child is then allowed to grow for a few months before the reconstructive surgery is done
Speaking during the opening session of the seminar, Dr. Peter Mwika who is one of the Lead Surgeons emphasized on the need for practitioners to create more awareness on ARM surgeries and treatment. This will be achieved through conducting intensive research and study on the condition. He also suggested that members of the society be educated about the anorectal malformation because little knowledge is what breeds stigma. This forces mothers with children with the condition to suffer in silence.
The main aim of the seminar is to equip surgeons with skills and know-how on undertaking ARM reconstructive surgeries and improving their outcomes.
