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A 3,780-g newborn girl had multiple, bilateral eyelid adhesions taht connected the upper and lower eyelids by bands of extensile tissue. Although the eyelid lesion was benign, the associated systemic abnormalities may have been serious. We doubt that a single intrauterine insult led to ankyloblepharon filiforme adnatum and the associated anomalies.
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Sixteen girls (including 12 neonates), all of whom had supralevator anorectal anomalies usually with a high rectovaginal fistula, were treated by a primary rectovaginoanoplasty. None of these patients had any opening onto the perineum or into the vestibule. Through the perineum, with a dissection behind the vagina, the rectum was freed of any fistulous attachment and brought through the puborectalis sling to the perineum. Of the 12 patients now aged 2-years and over, 11 can control solid stools, and three soil with diarrhea only. The operation is easier than other available procedures, and the complications were minimal.
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