Single-stage correction of imperforate anus with a rectourethral or a rectovestibula fistula by semi-posterior sagittal anorectoplasty.

Pediatric Surgery International
Shan ZhengYanlei Huang

Abstract

The aim of this study was to evaluate the clinical advantages of a single-stage correction of imperforate anus with a rectourethral or a rectovestibula fistula in neonates by a semi-posterior sagittal anorectoplasty (PSARP). The medical records of 38 neonates (5 females and 33 males) who had imperforate anus with a rectourethral or a rectovestibula fistula were reviewed and analyzed in Children's Hospital of Fudan University between January 2004 and July 2007. All patients had an anorectal malformation but without obvious sacral dysplasia. The first group had a single-stage PSARP without a colostomy. All neonates were full-term without severe cardiac, renal anomalies or severe abdominal distension. The second group had a staged Peña procedure; the neonates were not suitable for a single-stage PSARP because of severe abdominal distention or cardiac, renal anomalies. A transverse colostomy was performed, followed 3-6 months later by the Peña procedure, and colostomy closure 2 months thereafter. The congenital anomalies, fetal age, birth weight, time and age of the definitive operation, complications, length of hospital stay, cost, and postoperative bowel movements were analyzed between these two groups. Among the 38 patients, 22 ...Continue Reading

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Citations

Oct 13, 2009·Pediatric Surgery International·Victoria JuliàJosep Maria Ribó
Dec 1, 2012·Surgery Today·Naomi Iwai, Shigehisa Fumino
Mar 24, 2010·Seminars in Pediatric Surgery·Shawn J Rangel, Ivo de Blaauw
Jan 29, 2010·Journal of Pediatric Surgery·Mohamed S HashishDaniel H Teitelbaum
Dec 22, 2015·Annals of the Royal College of Surgeons of England·S ShettyJ Richards
Jun 11, 2017·Indian Journal of Pediatrics·Ajay Narayan Gangopadhyay, Vaibhav Pandey

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