[Tunis]Study of high anorectal malformation among children population.
Tunisia (ASSOCIA-MED) - University of Tunis El-Manar/Faculty of Medecine of Tunis, Tunis
Department of Pediatric Surgery ‘A’ Bechir Hamza Children’s Hospital, Tunis - TUNISIA
Pr Mohamed Mourad Hamzaoui
Dr Yasmine Houas
English, french
4 weeks
Cities/Months Jan Feb Mar Apr May Jun Jul Augt Sep Oct Nov Dec
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Type of Research Project
- Clinical Project without Laboratory work
What is the background of the project?
Anorectal Malformation, aka Imperforate Anus, is a spectrum of abnormalities of the rectum and anus. This malformation belongs to newborn emergencies. It occurs in various types and forms, with an incidence of 1 in 5000 live births There are many possible abnormalities as follows: - The absence of an anal opening. - The anal opening in the wrong place. - A connection, or fistula, joining the intestine and urinary system. - A connection joining the intestine and vagina. Thus, it is a malformation that is very complex whose treatment needs a variable number of operations depending on the anatomy of the malformation.
What is the aim of the project?
It aims to make a Study of embryological mechanisms, anatomic aspects and possible treatments of anorectal malformation in a children population.
What techniques and methods are used?
- Clinical examination - Common complementary diagnostics (X-rays, CT scan (Computed Tomography Scan), MRI (Magnetic Resonance Imaging) ..). - PSARP (Posterior Sagittal Anorectoplasty) : this surgery technique provides greater surgical accuracy in repositioning the anus, minimizes damage to surrounding anatomical structures, reduces post-surgical pain and improves outcomes. - Post-Operative Anorectal manometry : a test performed to evaluate patients with constipation or fecal incontinence. This test measures the pressures of the anal sphincter muscles, the sensation in the rectum, and the neural reflexes that are needed for normal bowel movements
What is the role of the student?
- The student will observe the practical experiments but will be highly involved in the analysis of the results
- The tasks will be done under supervision
- The student will mainly observe
What are the tasks expected to be accomplished by the student?
- Students will learn working as part of a team. - Learn about statistical analysis and data collection, and data analysis about anorectal malformation. - Take part in clinical examination which can also contain complementary examination. - To establish incontinence scores adapted to the Tunisian children. - Realize an assessment of post-surgery evolution and healing.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
Yes, preliminary readings by the tutor.
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a poster
- The student will prepare a presentation
- The student will prepare a scientific report
- The student’s name will be mentioned in a future publication
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
*The student is required to - have studied the Anorectal Malformation - have an idea about the: PSARP (Posterior Sagittal Anorectoplasty) technique *Previous experience with: Anorectal Malformation (MANDATORY) Anal Continence
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts:
- Medical students
- Graduated students (less than 6 months)
- Surgical Treatment of Colorectal Problems in Children April 15; 2015 by Alberto Peña