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Professional Technical IVT

BERA

Pronunciation: BEAR-ah

Also written as: BERA — Bowel Elimination via Rectum and Anus

A temporary diverting enterostomy created during staged surgical repair of complex anorectal malformations.

Full Definition

BERA (Bowel Elimination via Rectum and Anus) represents the final stage of staged surgical repair for complex anorectal malformations, particularly in patients who initially required diverting colostomy. This approach involves closure of the protective colostomy once adequate healing of the primary repair has occurred and bowel function through the reconstructed anorectum is established. The timing of BERA is individualized based on wound healing, absence of complications, and demonstration of appropriate anorectal function. Success requires careful preoperative assessment including contrast studies to confirm integrity of the repair.

Usage

Usage note: Specific terminology used in anorectal malformation management protocols.

In Context

  • "The patient is scheduled for BERA following successful anorectal reconstruction." — Surgical planning note
  • "Contrast enema confirmed integrity of the repair prior to proceeding with BERA." — Preoperative assessment

Also known as

colostomy closure

Don't confuse with

primary repair pull-through procedure

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