LETTER TO EDITOR
|Year : 2005 | Volume
| Issue : 2 | Page : 116
Plastic pens as substitutes for metallic dilators
SR Choudhury, P Sahu, D Singh, R Chadha
Department of Pediatric Surgery, Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi - 110 001, India
S R Choudhury
Department of Pediatric Surgery, Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi - 110001
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Choudhury S R, Sahu P, Singh D, Chadha R. Plastic pens as substitutes for metallic dilators. J Indian Assoc Pediatr Surg 2005;10:116
|How to cite this URL:|
Choudhury S R, Sahu P, Singh D, Chadha R. Plastic pens as substitutes for metallic dilators. J Indian Assoc Pediatr Surg [serial online] 2005 [cited 2020 Jan 21];10:116. Available from: http://www.jiaps.com/text.asp?2005/10/2/116/16478
Dilatations are generally recommended after reconstruction of the anorectum and vagina in children with anorectal and genital malformations., The commonly used dilators, e.g. Hegar's dilators, are metallic in nature. We perform a large number of operations for anorectal and genital malformations in our institution. Following such reconstructions, we recommend dilatation starting from the 10th to 14th postoperative day, initially twice per day for a period of 2 months and then daily for a period of at least 6 months. One or both the parents are taught the procedure in the clinic and then dilatations are done by them at home. The size of the dilators also needs to be increased periodically., In our follow-up clinic, we often face the problem of finding a suitable-size dilator for the patient. The relatives of the patients, often from poor socioeconomic class, find it difficult to get the metallic dilators from the market.
We have adopted a novel technique by using the end of plastic pens for anal and vaginal dilatation. Plastic pens of various sizes are nowadays easily available; they are inexpensive and disposable. The pens should have a smooth conical contour at the end for the procedure to be minimally traumatic. We have created a 'pen bank', a collection of plastic pens [Figure - 1] in our follow-up clinic and give an appropriate-size pen to the relatives and thus find it easy to handle a large number of patients requiring such procedure. No dilation-related complication has been reported so far.
Therefore, plastic pens are an easily available and cheaper substitute for metallic dilators for anal and genital dilatation in children.
| References|| |
|1.||Ray AK, Singhania AK, Mukherjee S. Post PSARP anorectal manometry - experience of 115 cases of imperforate anus. J Indian Med Assoc 2004;102:253-5. [PUBMED] |
|2.||Kiely EM, Pena A. Anorectal Malformations. In O'Neill JA, Rowe MI, Grosfeld JL, Fonkalsurd EW, Coran AG, editors. Pediatric Surgery 5th Ed. St. Louis, Missouri: Mosby; 1998. p. 1425-48. |
|3.||Jackson CR, de la Hunt MN, Backwith R. A new hollow anal dilator. Ann R Coll Surg Engl 2003;85:428. |
[Figure - 1]