Rectoperineal Fistula Repair Through Perineal Approach, Martius Flap, and House Advancement Flap

Terry, M. C.; Ng, Mitchell; Ma, Truong; Stein, Sharon L.

doi:10.7759/cureus.7001

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…15 The recent over the clip proctology system may have promising results in the years to come. 16 Zamir N, and colleagues in their study found comparable results of ASARP. 17 However, results of primary repair in era of laparoscopy via minimal invasive intervention is subject to comparative studies.…”

Section: Discussionmentioning

confidence: 71%

Primary Procedure for Recto-Vestibular Fistula in Female Children: An Early Experience at Khyber Teaching Hospital Peshawar.

Uzair

Ali

Waheed

et al. 2020

JMS

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Background: Recto-vestibular fistula is the most common variant of Anorectal malformation in female children. Traditional management of this entity is a three stages procedure i.e. colostomy, PSARP, and colostomy closure. The aim of this study was to manage these patients by a primary definitive surgical procedure without colostomy and to know the procedure feasibility, cost effectiveness, complications, safety and short term functional outcome. Materials and method: Results: A total of 40 female children fulfilling inclusion criteria of the study were included. Age range was 28 days to 8 months. No mortality noted during study period. Mean operative time was 50±15 minutes. Mean Hospital stay in days was 6.65.Procedure related complications were recorded as wound infection 5(12.5%), wound dehiscence 1 (2.5%), posterior vaginal wall injury 5(12.5%).Overall parental satisfaction regarding procedure was 92.5%. Conclusion: Primary single stage procedure either by PSARP or ASARP for the correction of Rectovestibular fistula in female children of ARM was less traumatic to children, acceptable to their parents, having cost effectiveness for poor socioeconomic parents and encouraging functional outcome.

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Section: Discussionmentioning

confidence: 71%

Primary Procedure for Recto-Vestibular Fistula in Female Children: An Early Experience at Khyber Teaching Hospital Peshawar.

Uzair

Ali

Waheed

et al. 2020

JMS

View full text Add to dashboard Cite

show abstract

“…The Multius procedure requires healthy tissue between the rectum and vagina and separating the rectum and vagina. Rectal fistula repair using a perineal approach with a Martius flap is technically demanding [9] . Gracilis interposition is much more complex and invasive than the Martius flap operation.…”

Section: Discussionmentioning

confidence: 99%