From minimal, limited, to maximal posterior

Sagittal anorectoplasty-A 10-year experience in treating anorectal malformations

J. N. Lin, K. L. Wang, C. S. Huang, C. C. Luo

Research output: Contribution to journalArticle

Abstract

Posterior sagittal anorectoplasty (PSARP) has been increasingly accepted as the preferred procedure in treating anorectal malformations since Pena and de Vries published their experience in 1982. From 1985 to 1995, 125 cases of anorectal malformations were operated at this Institution, using this procedure either primarily (105 cases), or secondarily (20 cases). For imperforate anus with perineal fistula (n=32, 30.5%), minimal PSARP, which means only the external sphincter muscle is divided, was carried out. For imperforate anus without fistula (n=29, 27.6%) and for those with vestibular fistula (n=18, 17.1%), limited PSARP, defined as division of both the external sphincter and part of the muscle complex, was carried out. For imperforate anus with urethral fistula (n=13, 12.4%), those with vaginal fistula (n=l, 1.0%) and those with persistent low cloaca (cloaca length 3 cm, n=3, 2.9%), in addition to the maximal PSARP, an abdominal approach has to be added in order to divide the fistula and gain adequate length of rectum or vagina. It is concluded that a uniform posterior sagittal approach with individual decision concerning different degrees of division of continent muscles can be applied comfortably to treat the entire spectrum of anorectal malformations.

Original languageEnglish
Pages (from-to)10-14
Number of pages5
JournalJournal of Surgical Association Republic of China
Volume30
Issue number1
Publication statusPublished - 1997
Externally publishedYes

Fingerprint

antineoplaston A10
Fistula
Imperforate Anus
Cloaca
Muscles
Vaginal Fistula
Vagina
Rectum
Anorectal Malformations

Keywords

  • Anorectal malformation
  • Posterior sagittal anorectoplasty

ASJC Scopus subject areas

  • Surgery

Cite this

From minimal, limited, to maximal posterior : Sagittal anorectoplasty-A 10-year experience in treating anorectal malformations. / Lin, J. N.; Wang, K. L.; Huang, C. S.; Luo, C. C.

In: Journal of Surgical Association Republic of China, Vol. 30, No. 1, 1997, p. 10-14.

Research output: Contribution to journalArticle

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