Laparoscopic and transanal approach for rectal atresia: a novel alternative

Liêm, Nguyễn Thanh; Hien, Pham Duy

doi:10.1016/j.jpedsurg.2007.08.049

Cited by 15 publications

(12 citation statements)

References 8 publications

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“…Many different surgical procedures have been described [3,7], ranging from simple perforation of the atresia, posterior sagittal anorectoplasty, and sacroabdominoperineal pull-through with widely different results [7]. These procedures involve dissection and division of pelvic floor muscles [2] and the resection of the anal canal [1,9]. Hamrick et al managed rectal atresia by modified posterior sagittal anorectoplasty, saving the anterior wall of the anal canal and dissecting the posterior wall only [3].…”

Section: Discussionmentioning

confidence: 99%

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Another indication for a transanal pull-through: surgical management of rectal atresia—a case report

2022

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Background Rectal atresia is a very rare cause of neonatal intestinal obstruction. It has some distinctive anatomical and physiological specifications. The management is controversial with many described operative techniques. In this case report, we described our patient that we operated according to the transanal pull-through technique. We discussed the advantages and disadvantages of this technique and what makes it a suitable option for this population of patient. Case presentation A full-term male patient presented at 36 h of life for a pneumoperitoneum. Because of his well-placed, normally appearing anus, the diagnosis of rectal atresia was delayed. The patient was operated then according to the transanal pull-through technique with good follow-up results. Conclusion Transanal pull-through is a safe, easy. and a potentially reproducible option for managing rectal atresia. It should be considered for managing future cases. More cases should be done before drawing big conclusions.

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Section: Discussionmentioning

confidence: 99%

“…Rectal atresia (RA) is a very rare cause of neonatal intestinal obstruction; it comprises 1% of all cases of ano-rectal malformations (ARM) [1]. The anatomical significance of rectal atresia is the presence of normal anal canal and a well-developed anal sphincter [1,2]. Many operative approaches are reported [3,4].…”

Section: Introductionmentioning

confidence: 99%

Another indication for a transanal pull-through: surgical management of rectal atresia—a case report

2022

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“…and death [n ¼ 1]). 4,5,7,[24][25][26]28,30,32,34,[36][37][38][39][40][41] Clavien-Dindo scores per postoperative complication are shown in ►Table 2.…”

Section: Definitive Operation Technique and Number Of Postoperative C...mentioning

confidence: 99%

Outcomes after Surgical Treatment for Rectal Atresia in Children: Is There a Preferred Approach? A Systematic Review

et al. 2022

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Rectal atresia (RA) affects only 1 to 2% of all children with anorectal malformations. No consensus on optimal treatment strategy is yet achieved. Therefore, the aim of this systematic review is to summarize all surgical interventions for RA and outcomes described in the current literature. A literature search was conducted in PubMed, Embase, Web of Science, and Cochrane Library on January 24, 2022. All studies describing treatment for RA in children (< 18 years) were included. Operation technique and postoperative complications were listed. Only descriptive analysis was anticipated. Quality of the studies was assessed using Johanna Briggs Institute critical appraisal checklist for case reports and series. The search yielded 6,716 studies of which, after duplicate removal, 4,028 were excluded based on title and abstract screening. After full-text assessment, 22 of 90 studies were included, yielding 70 patients. Posterior sagittal anorectoplasty (PSARP) and pull-through were most performed (43/70 and 18/70 patients, respectively). Four patients experienced postoperative complications: anal stenosis (n = 1), anastomotic stenosis (n = 2), and death due to a pulmonary complication (n = 1). In the low-quality literature available, most patients with RA are treated with PSARP or pull-through technique. A low complication rate of both has been described but follow-up was often not mentioned. Larger well-designed studies should be performed to determine optimal treatment strategy for children with RA. This study reflects level of evidence V.

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“…Upadhyaya [8] described a direct intraluminal anastomosis using a metal device for crushing the atretic segment (transanal, end-to-end, rectorectal anastomosis), with a good outcome. Liem and Hien [9] described 2 patients with rectal atresia operated on after a right transverse colostomy using the transanal approach, similar to the transanal technique for Hirschsprung disease, combined with laparoscopic assistance for dissection of the rectal pouch to mobilize it completely. The results were satisfactory.…”

Section: E42mentioning

confidence: 99%