Single-stage repair of vestibular and perineal fistulae without colostomy

Kumar, Basant; Kandpal, Deepak K; Sharma, Shreya; Agrawal, Leela Dhar; Jhamariya, Virendra Narayan

doi:10.1016/j.jpedsurg.2008.03.047

Cited by 62 publications

(54 citation statements)

References 13 publications

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“…(8,9) Various surgeons have reported that there is no significant difference in multistage and single stage procedure. (10)(11)(12)(13)(14)(15)(16)(17) Our series is small for statistical analysis, but the results are in accordance with these reported series outcome in terms of continence can be achieved by careful anterior sagittal surgical dissection. Anovestibular fistula can be repaired in one stage with meticulous pre-and postoperative bowel management.…”

Section: Discussionsupporting

confidence: 85%

Anorectal Malformation Female Children One Stage Procedure Asarp

Shrivastava¹

2016

jemds

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CONTEXTAnorectal malformation is a common congenital defect in children and its management has evolved over the years. Anterior sagittal approach is established as a popular technique for the correction of anovestibular fistula in children with anorectal malformations due to advancement of technology magnification, muscle stimulation and precise placement of the anal canal within the external sphincter complex. AIMSTo study the outcome of anterior sagittal approach as single stage procedure for anorectal malformations in female children at tertiary care centre. SETTINGS AND DESIGNPaediatric Surgery Department, Gandhi Medical College, Bhopal. A retrospective analysis. METHODS24 female patients with congenital anorectal malformation who underwent Anterior Sagittal Anorectoplasty (ASARP) as a single stage procedure were reviewed. The surgical procedure and its outcome were evaluated. RESULTSThere was no case that had significant haemorrhage during or after procedure; 4 cases had rent in the posterior vaginal wall which was managed adequately due to early detection. There were six cases with wound infection. One case had dehiscence; three cases developed constipation, which was managed with dilation and bowel training. CONCLUSIONASARP as a single stage procedure without colostomy cover should be considered as a preferable option for the management of anovestibular fistula in female children.

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Section: Discussionsupporting

confidence: 85%

Anorectal Malformation Female Children One Stage Procedure Asarp

Shrivastava¹

2016

jemds

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“…Kumar carried out a retrospective trial of 123 low type ARM patients who underwent single-stage PSARP or ASARP. Only 1 patient (1.85 %) who had associated sacral agenesis had fecal incontinence [18]. In a prospective study, 23 patients with RVF underwent primary ASARP, and 3 patients (13.04 %) developed local wound disruption in the postoperative period [19].…”

Section: Discussionmentioning

confidence: 99%

The management of anorectal malformation with congenital vestibular fistula: a single-stage modified anterior sagittal anorectoplasty

Wang

Liu

et al. 2015

Pediatr Surg Int

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“…The belief that a protective colostomy may prevent wound infection, is questionable. In the recent literature, more surgeons tend to do a one-staged procedure for the rectoperineal fistulas and in some developing countries even high type ARMs are treated without colostomy [6][7][8][9]. In the western world, Albanese [10] (United States) successfully performed a PSARP-procedure in four boys with high anomalies, without colostomy.…”

Section: Discussionmentioning

confidence: 99%