Long-term results of anterior sagittal anorectoplasty for the treatment of vestibular fistula

Anorectal anomaly with rectovestibular fistula: a historical comparison of neonatal anterior sagittal anorectoplasty without covering colostomy and postoperative anal dilatation to the classical three-stage posterior sagittal anorectoplasty

“…However, the digital examination during follow-up was normal. This result is almost similar to the result reported by Wakhlu et al 23 In comparison, for the PSARP patients, a normal bowel habit is achieved without the need for laxative in only 45% of the patients. Fecal impaction is not reported in this study although ASARP is linked to this peculiar problem due to prominent posterior anal ledge; this condition could be detected via rectal examination.…”

“…The power was set as 1−β with (β=20)=0.8. Standard deviation was derived by comparing the incidence of colostomy-related complications ranged at P o (60%; Nour et al 43 ) to patients without colostomy where complications are documented as P 1 (5% of patients; Wakhlu et al 23 ). As such, the insert values were as follows:…”

“…18,22,23 PSARP and ASARP have revolutionized the surgical treatment of ARA over the last decade. ASARP is an optimal technique for intermediate ARAs and shows better cosmetic and functional outcome by reducing postoperative constipation compared to PSARP.…”

Anorectal Malformation Female Children One Stage Procedure Asarp

“…Some of the authors (Wakhlu et al), advocated that operation on patients with rectovestibular fistula is safer under cover of a protective colostomy. (8,9) Various surgeons have reported that there is no significant difference in multistage and single stage procedure. (10)(11)(12)(13)(14)(15)(16)(17) Our series is small for statistical analysis, but the results are in accordance with these reported series outcome in terms of continence can be achieved by careful anterior sagittal surgical dissection.…”

Unexpected megarectum: A potential hidden source of complications in patients with anorectal malformation

“…Levitt reported a 58% rate of constipation and an 83% rate of fecal control in patients with rectoperineal fistula, and a 55% rate of constipation and a 64% rate of fecal control in patients with a rectovestibular fistula [2]. However, postoperative complications related to posterior sagittal anorectoplasty could clearly worsen these functional outcomes [11][12][13][14][15]. So, the decision as to creating most important question is whether to create a colostomy or performing a primary repair is very important.…”