Laparoscopically assisted anorectovaginoplasty for selected types of female anorectal malformations

Rectovestibular fistula—rarely recognized associated gynecologic anomalies

“…The treatment modalities used in the 22 cases of vestibular fistula with absent vagina, reported in the literature [3,[6][7][8][9]11,[15][16][17][18], included 8 vaginal replacements with rectum, 3 replacements with sigmoid, 3 successful vaginal mobilization in cases of distal vaginal atresia, 2 replacements with small bowel, and 1 with skin flaps. No information was found related to the vaginal reconstruction in the remaining 5 cases.…”

“…Summary of vestibular fistula and absent vagina cases published in the literature[3,[6][7][8][9]11,[15][16][17][18] …”

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.…”

Comparison of clinical outcomes and anorectal manometry in patients with congenital anorectal malformations treated with posterior sagittal anorectoplasty and laparoscopically assisted anorectal pull through

“…In the past few years, it has been proven that LAARP is also a useful and safe procedure for patients with high ARM with or without fistulas, for boys or girls [2]. It can position the neorectum accurately inside the sphincter complex without dividing any of the muscles.…”