Intraoperative Endosonographic Assessment of Pelvic Floor Muscles during Laparoscopy-Assisted Colon Pull-through for High Imperforate Anus

Laparoscopic-assisted anorectal pull-through for anorectal malformations: a systematic review and the need for standardization of outcome reporting

“…Surgical stress was assessed using mean febrile period, duration of elevated white blood cell count, and peak C-reactive protein level. When CEQ were compared annually, scores for LAARP were generally higher throughout the study but only statistically significant at 3 and 4 years [2,3] 2 (11.8%) Kelly's score [6] 1 (6.9%) ▪ Proper position (75%) MRI [2,5,7,[11][12][13]16,17] 8 (47%) Ultrasound [2,3,17] 3 (17.6%) Barium enema [7,16] 2 (11.8%) ▪ Sphincter mechanism (29%) Manometry [4,6] 2 (11.8%) Digital examination [1,14,16] 3 (17.6%) ▪ Perineal appearance [9,13] 2 (11.8%) ▪ Urinary continence [13] 1 (6.9%) after surgery. The study concluded that although there were no significant differences between the 2 groups with regard to muscle thickness and parameters of surgical stress observed according to technique, LAARP appeared to provide better outcomes based on CEQ scores.…”

Is Intraoperative Anal Endosonography Necessary During Laparoscopy-Assisted Anorectoplasty for High/Intermediate Type Imperforate Anus?

“…Conventional techniques, as described by Georgeson et al, 1 were used to perform GLA, and a complete description of how op-AES was performed during GLA can be found elsewhere. 2,3 In the no-AES group, the PT canal was created by simply dissecting the perineum and pelvic floor along a loose connective tissue plane with a pair of mosquito forceps.…”