Laparoscopic repair high imperforate anus


As a result, these infants have either no opening through which stool can pass, or a very small opening that allows only a small amount of stool to pass out of the rectum. All patients passed stool within the first 72 hours postoperatively. However, short-term experience has been that this new method of pull-through for imperforate anus offers many advantages, including excellent visualization of the rectal fistula and surrounding structures, accurate placement of the bowel through the anatomic midline and levator sling, and minimally invasive abdominal and perineal wounds. The rectal fistula, which had been dissected out laparoscopically, was grasped using the perineal trocar and exteriorized to the perineum. Choose Destination File Clipboard Collections E-mail Order My Bibliography Citation manager Format Summary text Abstract text MEDLINE XML PMID List CSV Create File. It provides the healthcare community a wide range of surgical procedures, videos, lectures, and case reports. PubMed Commons home PubMed Commons.
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Laparoscopic Repair of High Imperforate Anus

The laparoscopic repair can be completed in one stage, 2 stages, or 3 stages. Normal sacra have a calculated sacral ratio greater than 0. Abstract Purpose The standard approach to males with high imperforate anus has been a staged procedure starting with a descending colostomy, then posterior sagittal anorectoplasty with colostomy closure after 3 months. Between March and December , Traditionally, the number of sacral vertebral bodies was counted to evaluate the degree of sacral deficiency. For example, a 1-year-old child who has undergone definitive repair of an ARM and has one to three discrete bowel movements per day has good potential for future fecal continence.
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Laparoscopic Repair of High Imperforate Anus

The posterior edge of the muscle complex is tacked to the posterior rectal wall. Complications of surgery include dehiscence and infection, which may be avoided with colostomy before the main repair. Once there is no longer resistance with insertion of the final dilator, the dilations can be tapered over the subsequent months. Between March and December ,
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Laparoscopic repair high imperforate anus
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Laparoscopic repair high imperforate anus
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Surgery for Pediatric Anorectal Malformation (Imperforate Anus) Treatment & Management

Laparoscopic repair high imperforate anus



Description: Posterior sagittal repair of rectovestibular fistula. Even in these more minor ARMs, care must be taken to separate the rectum completely from its anterior attachments to either the urethra or vagina. Note flat rectum on left, which represents compression of distal rectum in funnel-like sphincteric mechanism. This can be performed with the patient supine and the legs lifted up. Laparoscopically assisted anorectal pull-through for high imperforate anus--a new technique.

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