Postoperative Care in Cases of Posterior Sagittal Anorectoplasty / PSARP Plus Laparotomy
Children experience more postoperative pain and a longer hospital stay if a laparotomy is needed with the Posterior Sagittal Anorectoplasty / PSARP.
A laparotomy is generally performed if the rectum is too high to be visualized and mobilized from a posterior approach. These children return from the operating room with an intravenous line and an NG tube.
The NG tube remaines in place for three to four days or until active bowel sounds are heard. The children are managed with intravenous morphine for their pain. The skin care of the perineum remains the same, with antibiotic ointment as described earlier.
For more information or to request an appointment, please contact the Colorectal Center at Cincinnati Children's.
