Follow-Up Outcomes of Laparoscopic-Assisted Anorectal Pull Through for Anorectal Malformations of High Type

Tran, Quynh Anh; Nguyen, Liem Thanh; Pham, Hien; Nguyen, Tran Thi Ngoc; Nguyen, Xuyen Van

doi:10.1089/lap.2018.0163

Cited by 2 publications

(3 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The modifications suggested to decrease the incidence of rectal prolapse following LAARP include delayed colostomy closure allowing adequate time for the rectum to get fixed to the surrounding muscle complex, less extensive rectal dissection and sero-muscular fixation of the rectum with presacral fascia [18,39].…”

Section: Resultsmentioning

confidence: 99%

“…Proponents of the LAARP over PSARP believe that PSARP may place the rectum within the muscle complex, but the extensive dissection and division of the muscle complex during the procedure may irreparably damage the muscle and tiny pelvic nerves leading to suboptimal functional outcome by affecting the sensation and motility component of fecal continence. LAARP may complete the procedure by minimal perineal muscle division and without damaging the nerves leading to better functional outcome [5,9,12,30,39,40].…”

Section: Discussionmentioning

confidence: 99%

“…Six of the included articles [5,9,12,15,20,30,39,40] stressed that PSARP inflicts injury to the puborectalis muscle and nerves, affecting the bowel control. However, the only experimental study conducted so far to assess the effects of the posterior sagittal approach on rectal function demonstrated that the posterior sagittal approach with or without rectotomy had minimal or no effect on bowel control.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Postoperative “complications" following laparoscopic-assisted anorectoplasty: A systematic review

Pathak

Saxena

2020

Pediatr Surg Int

View full text Add to dashboard Cite

Aim This study reviewed the literature on the postoperative complications following laparoscopic-assisted anorectoplasty (LAARP). Methods A Medline and Embase search was performed for the terms "anorectal malformation" (ARM) "laparoscopic" and "complication". Articles without English full text, review articles, systematic reviews, case reports, case series < 5 cases and duplicate articles were excluded. Two reviewers independently performed the eligibility assessment and data extraction. Data were collected for type of malformation, surgical technique, postoperative complications and functional outcomes Results The search retrieved 108 articles, of which 38 met the inclusion criteria and offered 1058 patients for analysis. Rectoprostatic and rectobladder neck fistula were the most common types of ARM in males, whereas it was the common cloaca in females. Analysis of complications demonstrated rectal prolapse (n = 149; 14.08%) being the most prominent, followed by urethral diverticulum (n = 32; 3.02%), anal stenosis (n = 37; 3.49%), recurrent fistula (n = 7; 0.66%) and rectal stricture (n = 4; 0.37%). Krickenbeck classification was used for functional assessment in 638 patients, with fecal soiling grade 2 or > 2 in 79. Data on functional outcome specific to the type of malformation was available for 246 patients: fecal soiling grade 2 or > 2 in 15/94 (15.95%) with rectoprostatic fistula, 26/73 (35.61%) with rectobladder neck fistula, 6/47 (12.76%) with common cloaca, and 1/22 (4.54%) with no fistula. Conclusion Rectal prolapse, posterior urethral diverticulum and anal stenosis are the most common complications after LAARP. Inconsistent and non-uniform functional assessment and non-availability of information about the sacrum and spine make it difficult to analyze the functional outcome following LAARP.

show abstract

Section: Resultsmentioning

confidence: 99%