ABSTRACT
This chapter explains the key principles in the management of complex pediatric colorectal diagnoses. It provides case-based presentations, radiographic images, operative images with multiple choice questions to test knowledge. The chapter demonstrates some of the common postoperative complications. There have been significant advances in the care of children with anorectal malformations in recent years; however, there continues to be significant morbidity associated with repair of the various conditions. Many of these problems are a consequence of the underlying congenital malformation that requires careful management; however, a significant proportion is iatrogenic and potentially avoidable. All surgeons will encounter complications secondary to infection and patient disease. It is key to identify where the primary surgeons faltered in terms of the following: diagnosis, decision making, investigations and operative techniques. The common complications following anorectal malformation repair include such as stricture or acquired atresia of the rectum, mislocated rectum outside the sphincter mechanism and Fistulae- recurrent, persistent, or acquired.
