ArticleSurgical endoscopy2016
Congenital anomaly rectified at birth: one-stage single-incision laparoscopic-assisted anorectoplasty for newborns with anorectal malformations and recto-urethral fistula.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Incisional hernia after surgical correction of abdominal congenital anomalies in infants: a systematic review with meta-analysis.Scientific reports · 2020Pooled it
- Postoperative "complications" following laparoscopic-assisted anorectoplasty: A systematic review.Pediatric surgery international · 2020Pooled it
- The incidence of different forms of ileus following surgery for abdominal birth defects in infants: a systematic review with a meta-analysis method.Innovative surgical sciences · 2021Article
- Refinements in surgical techniques for visualized tunnel formation in laparoscopic-assisted anorectoplasty.Pediatric surgery international · 2021Article
- A novel combined enteroscopy and laparoscopy approach to prevent urethral complications in management of rectourethral fistula.Surgical endoscopy · 2021Article
- Laparoscopic surgical technique to enhance the management of anorectal malformations: 330 cases' experience in a single center.Pediatric surgery international · 2020Article
- Observational
- Management of acquired rectourethral fistulas in adults.Asian journal of urology · 2018Review
- A novel laparoscopic technique for anorectal malformation with low recto-bulbar fistulae.Surgical endoscopy · 2017Article
- Single-incision laparoscopy surgery: a systematic review.Electronic physician · 2016Review
- Can Neonatal Pull-through Replace Staged Pull-through for the Management of Anorectal Malformation? A Systematic Review and Meta-analysis.Journal of Indian Association of Pediatric SurgeonsReview
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveCurrently, staged procedures involving stoma formation and closure are the widely accepted treatment for newborns suffering from anorectal malformations (ARM) with recto-urethral fistula. This study aims to evaluate the safety and efficacy of one-stage single-incision laparoscopic-assisted anorectoplasty (SILAARP) as an alternative to the conventional approach.
methodsNewborns with ARMs and recto-urethral fistula who underwent one-stage SILAARP between June 2013 and December 2014 were reviewed. The procedure involved decompression of the meconium via a small temporary incision of the proximal sigmoid colon followed by a laparoscopic-assisted pull-through.
resultsSixteen ARM newborns [recto-prostatic fistula (6), recto-bulbar fistula (10)] successfully underwent a one-stage SILAARP. The mean age of the neonates at operation was 42.1 h. The average operative time was 2.4 h. The actual pull-through took 1.7 h, which did not differ significantly from 1.9 h in the pull-through procedure of our three-stage SILAARP control group. The median follow-up period was 16 months (8-26 months). No complications were encountered. Postoperative pelvic magnetic resonance imaging verified the centrally placed rectum within the muscle complex. Most patients started having bowel movements on postoperative day 1. Two constipated patients periodically required an enema for 1-3 months.
conclusionsOne-stage SILAARP is safe and effective. It provides complete rectification of ARM with recto-urethral fistula immediately after birth with good cosmesis.
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