A retrospective study long term complications and outcome of Ano rectal malformation following LAARP (Laparoscopic Assisted Ano Rectal Pull through) procedure

Abstract

Background: The laparoscopic procedure has many added advantages of being less time consuming, early discharge from the hospital, less tissue damage, and better visualization of the pelvic structures. Objective: to study the complications and outcomes in ARM patients following LAARP. Methods: This study was conducted on 55 ARM patients in the Raichur Institute of Medical Sciences RIMS/ RGSSH (OPEC) Raichur Karnataka. The study period is from Dec 2016 to Dec 2020. Results: All the fifty five patients who are operated for anorectal malformation, they underwent first surgery (high sigmoid loop colostomy) within the second and third day of neonatal period, and second surgery the LAARP within the six weeks to three months of the first surgery, a Demographics, type of ARM, and age at pull-through. All LAARP surgery was done by single surgeon, there were no anaesthetic complications. Conclusion: This study emphasizes the emerging laparoscopic technique for management of anorectal malformations. Using this approach it is possible to achieve better continence rates as the extent of perineal dissection is minimal, hence inflicting minimal neural and sphincter injury.