Posterior sagittal anorectoplasty for failed imperforate anus surgery: Lessons learned from secondary repairs

Tsugawa, Chikara; Hikita, Katsuya; Nishijima, Eiji; Muraji, Toshihiro; Satoh, Shiiki

doi:10.1053/jpsu.2000.18337

Cited by 10 publications

(3 citation statements)

References 13 publications

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“…However, the tangential passage of the rectum skimming the urethra results in the placement of the rectum anterior to the external sphincter. Peña and other authors had reported in their series that in patients who underwent secondary operations after primary pull-through for ARM because of incontinence, the rectum was found in the perineum placed anterior to the external sphincter [4,6,12].…”

Section: Discussionmentioning

confidence: 92%

A Unique Opportunity for the Operative Treatment of High Anorectal Malformations: Laparoscopy

Hakgüder¹,

Ateş²,

Çağlar³

et al. 2006

Eur J Pediatr Surg

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The laparoscopically excellent visualization of the pelvic musculature, especially of the pubococcygeal muscles, provides a great opportunity for accurate placement of the rectum in its anatomically precise place, without dividing the sphincteric muscle complex. Although there is not enough data regarding fecal continence after LAARP, we think that LAARP provides a unique opportunity for the operative treatment of high ARM and should be the first choice procedure for the operative treatment of high ARM.

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Section: Discussionmentioning

confidence: 92%

A Unique Opportunity for the Operative Treatment of High Anorectal Malformations: Laparoscopy

Hakgüder¹,

Ateş²,

Çağlar³

et al. 2006

Eur J Pediatr Surg

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“…Twelve scoring systems were found in the literature to assess colorectal function. Among the most commonly used scoring systems included Holschneider score, 10,[19][20][21][22][23] Kelly score, 10,24,25 Japanese study group of anorectal anomalies (JSGA) score, 10,26 Templeton score, 27,28 and Krickenbeck classification for postoperative results (age > 3). 2,6,[11][12][13][14][15][16][17][18] Overall the Krickenbeck classification for postoperative results, proposed by the international conference for the development of standards for the treatment of ARMs in 2005, has been extensively used in the last decade.…”

Section: Colorectal Scoring Systemsmentioning

confidence: 99%

Transition Risk Assessment Score to Stratify Health Care Needs and Interventions in Adolescents with Anorectal Malformations: A Pilot Study

2016

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Anorectal malformations (ARMs) are a complex collection of congenital disorders of the anus, rectum, and genitourinary system with possible active morbidities beyond adolescence. To create the first evidence-based inclusive transition risk assessment score (TRAS) to stratify health care needs and interventions in teenagers with ARM transitioning to adult health care. MEDLINE, EMBASE, and the Cochrane Library were searched electronically for original articles containing published scoring systems evaluating children with ARM from January 1, 1990 to December 31, 2013. Current published scoring systems identified were weighted to create a novel score (TRAS) to objectively assess the most common active problems present in teenagers with ARM: fecal, urinary, and sexual functions; quality of life; and psychosocial well-being. The TRAS was applied to patients visiting our tertiary anorectal clinic in the period from January 2014 to March 2016. Patients were rescored on each visit to the clinic. Total 21 separate scoring systems were identified in the literature, with 3 scoring systems incorporated into the TRAS. The score divided patients into "low" (0-4), "medium" (5-10), and "high" (11-35) risk categories. The TRAS was used to assess 14 adolescents with ARMs during the study period; 14 patients had a single TRAS, 7 had two TRAS, and 3 had three TRAS assessments. At first visit 14 patients with a median age of 13 were assessed with TRAS ranging from 2 to 13 (M = 5, SD 3.33, 95% CI 3.08-7.68). At second visit seven patients with a median age of 15 were assessed with TRAS ranging from 2 to 12 (M = 6.43, SD 3.51, 95% CI 3.19-9.67). At third visit three patients with a median age of 16 were assessed with TRAS ranging from 6 to 12 (M = 8.33, SD 3.21, 95% CI 0.35-16.32). There was no significant difference (> 0.05) between a patient's TRAS at different visits. Preliminary data suggest that the TRAS is a holistic and effective clinical tool to help to objectively stratify ARM patients, identify active problems, and select those who may require intensive multidisciplinary input and interventions during the transition to adult health care services.

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“…Fakat üretrayı yalayarak geçiş rektumun eksternal sfinkterin önünden yani perineden geçmesine neden olmakta ve inkontinansa yol açmaktadır. Zira Peňa ve diğer yazarlar inkontinans için sekonder olarak ameliyat edilen hastalarda rektumun eksternal sfinkterin önünde, perinede kaldı-ğını gözlemlemişlerdir (6)(7)(8) .…”

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Laparoscopic approach to high anorectal malformations

Hakgüder¹

2016

Tccd

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Posterior sagittal anorectoplasty for failed imperforate anus surgery: Lessons learned from secondary repairs

Cited by 10 publications

References 13 publications

A Unique Opportunity for the Operative Treatment of High Anorectal Malformations: Laparoscopy

A Unique Opportunity for the Operative Treatment of High Anorectal Malformations: Laparoscopy

Transition Risk Assessment Score to Stratify Health Care Needs and Interventions in Adolescents with Anorectal Malformations: A Pilot Study

Laparoscopic approach to high anorectal malformations

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