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| Year : 2004 | Volume
: 9
| Issue : 2 | Page : 74-79 |
Anterior sagittal anorectoplasty
A Wakhlu, AK Wakhlu
Dept. of Pediatric Surgery, King George Medical University, Chowk, Lucknow-226003, India
Correspondence Address:
A Wakhlu
Dept. of Pediatric Surgery, King George Medical University, Chowk, Lucknow-226003
India
 Source of Support: None, Conflict of Interest: None  | Check |
ABSTRACT: Aim: To describe the technique and results of Anterior Sagittal Anorectoplasty for the treatment of vestibular fistula and perineal canal in females. Methods: Patients with vestibular fistula and perineal canal admitted to the department of pediatric surgery were taken up for surgery at presentation. The technique involves minimal preoperative preparation and no colostomy is required. The rectum is separated from the vagina and placed in the sphincter muscle, the perineal body is created. Postoperative management is simple and the child is usually discharged by the fourth postoperative day. Results: ASARP was performed on 644 patients (age range 3 days - 44 years) between July 1970 and May 2003. Five hundred thirty six patients were followed up at 3 months. Five hundred twenty nine had a normal looking perineum and normal defecation. Three hundred fifty four children were assessed after the age of 3 years, 329 had no problems, were fully continent and had normal defecation; 25 children were constipated. There were 2 postoperative deaths; 7 patients had postoperative complications. Conclusions: ASARP is a suitable technique for single stage management of vestibular fistula and perineal canal in the female
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