ArticleSurgical endoscopy2017
A novel laparoscopic technique for anorectal malformation with low recto-bulbar fistulae.
Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Postoperative "complications" following laparoscopic-assisted anorectoplasty: A systematic review.Pediatric surgery international · 2020Pooled it
- Efficacy of laparoscopic assisted anoplasty in the treatment of intermediate type rectovestibular fistula.BMC pediatrics · 2025Article
- Global Development of Research on Anorectal Malformations over the Last Five Decades: A Bibliometric Analysis.Children (Basel, Switzerland) · 2022Article
- 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
- Laparoscopic-assisted anorectoplasty for intermediate type rectovestibular fistula: a preliminary report.Pediatric surgery international · 2020Article
- Single-incision laparoscopic-assisted anorectoplasty for treating children with intermediate-type anorectal malformations and rectobulbar fistula: a comparative study.Pediatric surgery international · 2019Article
- Laparoscopic-Assisted Modified Posterior Sagittal Anorectoplasty for Rectobulbar Urethral Fistula of Anorectal Malformation: A Prospective Study.Journal of Indian Association of Pediatric SurgeonsArticle
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe repair of anorectal malformation (ARM) with low recto-bulbar fistula (bowel-to-skin distance: 1-1.5 cm) is contraindicated for laparoscopy due to the difficulty in exposing the fistulae. Posterior or anterior sagittal anorectoplasty is thus conventionally carried out for low recto-bulbar fistula repair. However, these procedures carry the potential risk of wound infection/dehiscence and incontinence. We have developed a single-incision laparoscopic-assisted perineal anorectoplasty (SILPARP) technique. The current study aims to evaluate the safety and efficacy of this novel procedure.
methodsFifteen infants with ARMs and low recto-bulbar fistulae who underwent a SILPARP between November 2013 and March 2016 were reviewed.
resultsThe mean distance between the rectal pouch and the perineal skin was 1.15 cm. The mean age at the time of surgery was 3.92 months. The average operative time was 1.60 h. All patients resumed feeding on postoperative day 1. The median follow-up duration was 7 months. No injury to blood vessels, the urethra or vas deferens was encountered in our series. No mortality, morbidity of wound infection, rectal retraction, anal stenosis, or rectal prolapse was encountered. The postoperative voiding cystourethrogram verified that there was no urethral diverticulum or recurrent fistula. Postoperative pelvic magnetic resonance imaging demonstrated that the distal rectum was located in the center of the pelvic muscle complex.
conclusionsSILPARP is a feasible alternative treatment for ARM infants with low recto-bulbar fistulae.
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