Case of laparoscopic-assisted anorectoplasty performed with temporary umbilical loop colostomy for high anorectal malformation (rectovesical fistula): a three-stage minimally invasive surgery

Isa, Hideki; Miyagi, Hisayuki; Ishii, Daisuke; Hirasawa, Masatoshi

doi:10.1136/bcr-2020-240389

Cited by 3 publications

(2 citation statements)

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“…However, we have previously described a three-stage laparoscopic assisted anorectoplasty (LAARP) using an umbilical stoma for cases with a high imperforate anus, demonstrating its minimally invasive and excellent cosmetic properties (Fig. 3) [34]. In this report, the rst port was placed in the left upper abdomen using Hasson's open-entry technique, and the surgery was performed safely.…”

Section: Discussionmentioning

confidence: 89%

Quantitative evaluation of pediatric umbilical loop stomas: Two decades of experience from a single institution

Ishii,

Kumata,

Ishii

et al. 2023

Preprint

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Purpose Since pediatric stomas are often temporary, their creation, management, and closure should be simple, with minimal complications and excellent cosmetic results. We began employing umbilical stomas in 2000. This study aimed to characterize the ingenuity and utility of umbilical stomas and provide a quantitative evaluation of their cosmetic outcomes. Methods We examined cases of stoma construction and closure surgery performed in our department from January 2000 to December 2022. The umbilical and non-umbilical stoma groups included 54 and 42 cases, respectively, and the findings for both groups were compared and analyzed. Results The two groups showed no significant differences in the incidence of complications. The Manchester Scar Scale score for the umbilical stoma group (8.42±1.85) was significantly better than that for the non-umbilical stoma group (16.31±2.96; P<0.01). Likewise, in Patient and Observer Scar Assessment Scale assessments, the umbilical stoma group showed significantly better scores in both the observer scale (9.48±2.50 vs. 21.78±7.26; P<0.01) and the patient scale (10.5±1.39 vs. 22.40±7.35; P<0.01). Conclusions Umbilical stomas are easy to manage and yield an inconspicuous closure incision with excellent cosmetic outcomes. Although patient selection is important, pediatric umbilical stomas are a valuable option that can be actively employed.

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Section: Discussionmentioning

confidence: 89%

Quantitative evaluation of pediatric umbilical loop stomas: Two decades of experience from a single institution

Ishii,

Kumata,

Ishii

et al. 2023

Preprint

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“…Зважаючи на складність патології, у літературі дискутуються питання про проведення первинної аноректопластики або виконання етапної корекції РВН у дітей [5,6,14,17]. Загальноприйнятою залишається трьохетапна корекція вади [9,12]. При сongenital pouch colon III та IV типів, коли є достатня довжина ободової кишки, товстокишковий «мішок» видаляють повністю, а пацієнтам із I та II типами, у яких немає фізіологічно адекватної довжини товстої кишки, виконують колопластику [7,8,10].…”

Section: дискусіяunclassified

Surgical treatment of congenital anorectal malformation with rectovesical fistula in boys

Dzham

2024

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Congenital rectovesical fistula (RVF) is the most complex variant of anorectal malformations (ARM) in boys, characterized by a fistula connecting the rectum with the bladder. Purpose - to evaluate the results of surgical correction of RVF in children, using a differentiated approach to the diagnosis of this defect, depending on the anatomical options, the clinical course of associated defects, and, based on this, to develop the main tactical requirements for the treatment of this complex congenital ARM in children. Materials and methods. The study included 9 boys: 7 - RVF without pouch colon and 2 - RVF with congenital pouch colon, which accounted for 5.8% of all treated anorectal anomalies (n=154). Results. In patients with RVF without pouch colon: a double-stem disconnecting colostomy was performed in 3 (33.3%) and a double-stem loop colostomy in 4 (44.4%) boys. In children with RVF and pouch colon: a longitudinal, narrowing, stapler coloplasty of the large intestinal "pouch" was performed, with removal of the terminal stoma (n=1); formation of a double-stem disconnecting stoma without separation of the RVF, and at the II stage - elimination of the RVF, removal of the large intestinal «bag» and preservation of the ileostomy - as a permanent, lifelong stoma (n=1). In 7 (100%) patients with RVF without pouch colon at the II stage, abdomino-perineal posterosagittal anorectoplasty with separation of RVF was performed (n=5). At the III stage, 5 patients with RVF without a pouch colon underwent local access stoma closure. At the stages of primary correction of RVF 55.6% (n=5) of children had coloproctological complications. Conclusions. The use of a differentiated approach to diagnosis and methods of anorectoplasty, as well as the use of a complex of rehabilitation treatment in patients with RVF without a pouch colon made it possible to obtain good results in 50% and satisfactory results in 50% of children. Congenital pouch colon - a significant expansion of part or the entire colon already in the fetus, makes it possible to suspect and diagnose this defect in the prenatal period, and to carry out delivery and surgical correction in a specialized perinatal center. The research was carried out in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the Local Ethics Committee of the institution mentioned in the work. Informed consent of the patients was obtained for the research. No conflict of interests was declared by the author.

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Quantitative evaluation of pediatric umbilical loop stomas: 2 decades of experience from a single institution

Ishii,

Kumata,

Ishii

et al. 2023

Pediatr Surg Int

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Purpose Since pediatric stomas are often temporary, their creation, management, and closure should be simple, with minimal complications and excellent cosmetic results. We began employing umbilical stomas in 2000. This study aimed to characterize the ingenuity and utility of umbilical stomas and provide a quantitative evaluation of their cosmetic outcomes. Methods We examined cases of stoma construction and closure surgery performed in our department from January 2000 to December 2022. The umbilical and non-umbilical stoma groups included 54 and 42 cases, respectively, and the findings for both groups were compared and analyzed. Results The two groups showed no significant differences in the incidence of complications. The Manchester Scar Scale score for the umbilical stoma group (8.42 ± 1.85) was significantly better than that for the non-umbilical stoma group (16.31 ± 2.96; P < 0.01). Likewise, in Patient and Observer Scar Assessment Scale assessments, the umbilical stoma group showed significantly better scores in both the observer scale (9.48 ± 2.50 vs. 21.78 ± 7.26; P < 0.01) and the patient scale (10.5 ± 1.39 vs. 22.40 ± 7.35; P < 0.01). Conclusions Umbilical stomas are easy to manage and yield an inconspicuous closure incision with excellent cosmetic outcomes. Although patient selection is important, pediatric umbilical stomas are a valuable option that can be actively employed.

show abstract

Case of laparoscopic-assisted anorectoplasty performed with temporary umbilical loop colostomy for high anorectal malformation (rectovesical fistula): a three-stage minimally invasive surgery

Cited by 3 publications

References 10 publications

Quantitative evaluation of pediatric umbilical loop stomas: Two decades of experience from a single institution

Quantitative evaluation of pediatric umbilical loop stomas: Two decades of experience from a single institution

Surgical treatment of congenital anorectal malformation with rectovesical fistula in boys

Quantitative evaluation of pediatric umbilical loop stomas: 2 decades of experience from a single institution

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