Single stage Anterior Sagittal Anorectoplasty (ASARP) for Anorectal Malformations with Vestibular Fistula and Perineal Ectopic Anus in Females: A New Approach.
| dc.contributor.author | Chaudhary, R P | |
| dc.contributor.author | Thapa, B | |
| dc.contributor.author | Thana, S | |
| dc.contributor.author | Singh, P B | |
| dc.date.accessioned | 2013-06-28T08:14:09Z | |
| dc.date.available | 2013-06-28T08:14:09Z | |
| dc.date.issued | 2010-01 | |
| dc.description.abstract | Introduction: Despite a better understanding of the embryology, anatomy of anorectal malformations and of the physiology of continence, the management of children born with imperforate anus continues to be a surgical challenge and is still fraught with numerous complications and often leads to less than perfect qualitative results. Pediatric patients with recto-vestibular fistula have good prognoses in terms of bowel function when properly treated. Aim & Objective: The study was designed to assess the surgical morbidity of single stage Anterior Sagittal Anorectoplasty (ASARP). Methodology: This prospective study was carried for a period of 26 months. It included a total of 48 female patients (aged 0 – 14 years) with diagnosis of Anorectal Malformations (ARM) with vestibular fistula or perineal ectopic anus. In ASARP, Patient in lithotomy position, the anterior portion of sphincter muscles were cut through a midline perineal skin incision, rectum was separated from the vagina & then rectum was pulled through the center of these muscles. The perineal body was reconstructed and the normal appearance of perineum was achieved. Results: Short-term surgical outcome was satisfactory in all cases. No one needed colostomy. Conclusion: Single-stage ASARP is a good approach in experience hands for ARM with vestibular fistula and perineal ectopic anus in females and thereby complications and time involved in staged procedures including colostomy can be avoided. | en_US |
| dc.identifier.citation | Chaudhary R P, Thapa B, Thana S, Singh P B. Single stage Anterior Sagittal Anorectoplasty (ASARP) for Anorectal Malformations with Vestibular Fistula and Perineal Ectopic Anus in Females: A New Approach. Journal of Nepal Paediatric Society. 2010 Jan-Apr; 30(1): 37-43. | en_US |
| dc.identifier.uri | https://imsear.searo.who.int/handle/123456789/147059 | |
| dc.language.iso | en | en_US |
| dc.source.uri | https://www.nepjol.info/index.php/JNPS/article/view/2458/2192 | en_US |
| dc.subject | Anterior sagittal anorectoplasty | en_US |
| dc.subject | anorectal malformations | en_US |
| dc.subject | perineal ectopic anus | en_US |
| dc.subject | vestibular fistula | en_US |
| dc.title | Single stage Anterior Sagittal Anorectoplasty (ASARP) for Anorectal Malformations with Vestibular Fistula and Perineal Ectopic Anus in Females: A New Approach. | en_US |
| dc.type | Article | en_US |