Rectal Prolapse After Laparoscopically Assisted Anorectoplasty for Anorectal Malformations

Ishimaru, Tadayuki; Hosokawa, Takahiro; Kawashima, Hiroshi; Hayashi, Kentarō; Takayama, Shohei; Omata, Kanako; Sanmoto, Yohei; Gohara, Takumi

doi:10.1089/lap.2020.0609

Cited by 10 publications

(2 citation statements)

References 25 publications

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“…[22,23] Indeed, the previously reported incidence of post-LAARP rectal prolapse ranged from 30-59%, which was higher than that of the PSARP control group. [4,23,26] According to clinical experience from CIP, maintaining the correct tension of rectum-anal anastomosis while placing the anoplasty sutures could reduce the rate of rectal prolapse. The modified techniques to achieve this are as follows: (1) to aovid over-extensive mobilization of the rectum, we recommend dissection of the mesorectum from the peritoneal reflection without transection of the superior rectal artery; (2) the redundant rectum and surrounding tissue may be trimmed symmetrically to maintain proper tension of rectum-anal anastomosis (slight invagination of the neo-anus) and avoid the mucosal ectropion of the neo-anus.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic-assisted anorectoplasty for anorectal malformation with rectobulbar fistula: A two-center comparative study with posterior sagittal anorectoplasty

Ye,

Feng,

Zhou

et al. 2023

Medicine

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Due to the controversy on the feasibility of laparoscopic-assisted anorectoplasty (LAARP) for the treatment of the anorectal malformation (ARM) with rectobulbar fistula (RBF), this study aimed to compare the outcomes of LAARP and posterior sagittal anorectoplasty (PSARP) for ARM with RBF. Demographic data, postoperative complications, and bowel function of RBF patients who underwent LAARP and PSARP at 2 medical centers from 2016–2018 were retrospectively reviewed. Eighty-eight children with RBF were enrolled, including 43 in the LAARP group and 45 in the PSARP group. There were no significant differences in the sacral ratio (P = .222) or sacral agenesis (P = .374). Thirty-seven and 38 patients in the LAARP and PSARP groups were followed up for a median of 4.14 years. The postoperative complications were comparable between the groups (P = .624), with no cases of urethral diverticulum. The urination of all cases was normal and no evidence of cyst formation was found on MCU or MRI during the follow-up period. The incidence of rectal prolapse was similar between the 2 groups (9.3% vs 17.8%, P = .247). The groups had equivalent Bowel Function Score (15.29 ± 2.36 vs 15.58 ± 2.88, P = .645), but the LAARP group had better voluntary bowel movement (94.6% vs 84.2%, P = .148) by Krickenbeck classification. The intermediate-term outcomes of LAARP show that the urethral diverticulum was rare by the intraluminal incision of the fistular and the bowel function was comparable to that of PSARP in ARM with rectobulbar fistula. However, LAARP was associated with smaller perineal wounds.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic-assisted anorectoplasty for anorectal malformation with rectobulbar fistula: A two-center comparative study with posterior sagittal anorectoplasty

Ye,

Feng,

Zhou

et al. 2023

Medicine

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“…If her hallucinations were managed, she may have not strained to push them out, leading to rectal prolapse. Medical treatment may be the more ideal option for this patient since there are some initial studies suggesting worse outcomes in older children and adolescent patients who undergo surgical repair for rectal prolapse [9][10][11]. Higher incidences of recurrence were also associated with increased age in pediatric patients [9].…”

Section: Discussionmentioning

confidence: 99%

Adolescent Psychosis and Rectal Prolapse

Pak¹,

Nguyen²,

Bogoyas³

2022

Cureus

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Psychosis is a constellation of symptoms that present with a disconnect from reality. The duration, severity, and presentation of symptoms can present on a wide spectrum, and etiologies can vary from patient to patient. Psychosis is also associated with self-injurious thinking, behavior, and suicidality. Long-term treatment of psychosis with antipsychotics can often result in side effects like constipation, sedation, dry mouth, and metabolic syndrome. Though rectal prolapse is uncommon in adolescent patients, there was a noted correlation with rectal prolapse in adult patients that were treated for chronic psychiatric disease. We report a case of a 17-year-old female with psychosis and rectal prolapse, who was admitted for inpatient treatment.

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Long-term outcomes of male imperforate anus with recto-urethral fistula: laparoscopy-assisted anorectoplasty versus posterior sagittal anorectoplasty

et al. 2022

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Rectal Prolapse After Laparoscopically Assisted Anorectoplasty for Anorectal Malformations

Cited by 10 publications

References 25 publications

Laparoscopic-assisted anorectoplasty for anorectal malformation with rectobulbar fistula: A two-center comparative study with posterior sagittal anorectoplasty

Laparoscopic-assisted anorectoplasty for anorectal malformation with rectobulbar fistula: A two-center comparative study with posterior sagittal anorectoplasty

Adolescent Psychosis and Rectal Prolapse

Long-term outcomes of male imperforate anus with recto-urethral fistula: laparoscopy-assisted anorectoplasty versus posterior sagittal anorectoplasty

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