The aim of this report is to present a technical detail of use in the management of an anorectal malformation (ARM). A boy with ARM and a fistula to the urethra was operated on with a posterior sagittal anorectoplasty (PSARP). Before the PSARP operation, a videoendoscopy was performed through the distal stoma down to the distal end of the rectum. The rectourethral fistula was identified and a g...

Background: Posterior sagittal anorectoplasty (PSARP) is the newest and most-widely-used technique for correction of anorectal malformations (ARMs). In the present investigation, the functional outcomes of PSARP and also the relationship between the complications and the sacral ratio (SR) have been studied. Methods: The study group included 49 patients (25 males and 24 females) with ARMs, opera...

The two main surgical procedures for high and intermediate anorectal malformations (ARM), namely, Stephens’ and Peña’s procedure, are compared in terms of their outcome. Materials and Methods: Fifty-eight patients who had Stephens’ procedure and 28 patients who had posterior sagittal anorectoplasty (PSARP) are clinically analyzed in terms of associated anomalies, procedural complications, anato...

OBJECTIVE Anorectal malformations (ARMs) are one of the commonest anomalies in neonates. Both laparoscopically assisted anorectal pull-through (LAARP) and posterior sagittal anorectoplasty (PSARP) can be used for the treatment of ARMs. The aim of this systematic review and meta-analysis is to compare these two approaches in terms of intraoperative and postoperative outcomes. METHODS MEDLINE, ...

Background: In high anorectal malformations (ARM), surgical management includes initial colostomy at neonatal period followed by abdominoperineal posterior sagittal anorectoplasty (PSARP) without a protective colostomy. Aims and Objectives: The aims of this study were as follows: (i) To evaluate whether 2 stage PSARP gives better outcome for ARM than three (ii) to assess overall stay duration, ...

Anorectal malformations (ARMs) occur in approximately 1 per 5000 live births. The most commonly used procedure for repair of high ARMs is posterior sagittal anorectoplasty (PSARP). This operation is performed entirely through a perineal approach. The first report of laparoscopically assisted anorectal pull-through (LAARP) for repair of ARMs was presented by Georgeson in 2000. The aim is present...

PSARP is currently the most widely-used surgical technique for surgical correction of high and intermediary anorectal malformations, but there is much controversy in the literature about the postoperative evaluation of these cases. We studied 27 cases of anorectal malformations operated with PSARP from clinical and manometric aspects in order to analyze: 1) fecal continence; 2) the relationship...

Anorectal malformations (ARMs) affect about 1 in 5 000 liveborn infants. For those with high or intermediate defects (supra-levator or levator-level defects), colostomy in the newborn period is life-saving. However, long-term quality of life after construction of a neo-anus and colostomy closure is still unsatisfactory. In many cases, this can be attributed to complexity of the lesion, a high r...

the standard approach to management of high imperforate anus is colostomy in the newborn period followed by posterior saggital anorectoplasty (psarp) at 6 to 12 months of age. the purpose of this study was to determine whether a one-stage repair by primary psarp in the newborn period could be performed without clear determent to the patient’s functional result. totally 30 newborns with high imp...

Purpose To report the sequelae of and preventive strategies for selected lower urinary tract (LUT) complications, i.e., posterior urethral diverticulum (PUD), intraoperative LUT injuries, postoperative dysuria, fistula recurrence in male imperforate anus (IA) with rectourethral/rectovesical (RU/RV) after laparoscopy-assisted anorectoplasty (LAARP) or sagittal (PSARP). Methods 153 boys IA RU/RV ...