SynthesisPediatric surgery international2019
One-stage repair of anorectal malformations in females with vestibular fistula: a systematic review and meta-analysis.
Synthesis in Pediatric surgery international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
12 citing papers in PubMed, 32 citations in OpenAlex.
- Association of preoperative ultrasonography with the bowel function at 5 years of age in low-type anorectal malformation: a retrospective cohort study.Surgery today · 2026Article
- Novel surgical technique for vestibular fistula: single-stage anorectoplasty without perineal incision using fistula inversion.Journal of surgical case reports · 2026Article
- Short-term outcomes of centralization on surgical care for patients with anorectal malformations: retrospective cohort study.BJS open · 2025Article
- Single vs. staged PSARP for rectovestibular fistula: a 25-year study on complications, continence, and quality of life.Pediatric surgery international · 2025Article
- Wound dehiscence rates decreased in reconstructive surgery of anorectal malformations after introduction of a standardized postoperative treatment program.World journal of pediatric surgery · 2025Article
- Bowel function after surgery in male children with complicated anorectal malformations.Frontiers in pediatrics · 2025Article
- Anorectal malformations.Nature reviews. Disease primers · 2024Review
- Current practice of diagnosis and treatment for rectourethral fistula in male patients with anorectal malformation: a multicenter questionnaire survey in Japan.Pediatric surgery international · 2024Article
- Short and Long-Term Outcomes of PSARP versus LAARP and Single versus Staged Repair for Infants with High-Type Anorectal Malformations: A Systematic Review and Meta-Analysis.Children (Basel, Switzerland) · 2024Review
- Laparoscopic-assisted anorectoplasty for intermediate type rectovestibular fistula: a preliminary report.Pediatric surgery international · 2020Article
- General complications after surgery for anorectal malformations.Pediatric surgery international · 2020Review
- Fifty Most Influential Articles on Anorectal Malformations: A Tribute through Bibliometric Ranking.Journal of Indian Association of Pediatric SurgeonsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeFemales with recto-vestibular fistula (RVF) can be managed either by one-stage sagittal anorectoplasty (SARP) or by conventional multi-stage approach with colostomy followed by SARP. Our aim was to define which approach, one-stage or multi-stage, is safer and more beneficial.
methodsUsing a defined search strategy, two investigators identified all comparative studies on the mentioned procedures. The study was conducted under PRISMA guidelines. The meta-analysis was performed using RevMan 5.3. Data are mean ± SD.
resultsOf 649 titles/abstracts screened, 13 full-text articles were analyzed. Three studies were included (156 females). One-stage SARP was associated with increased risk of wound infection (24.3 ± 8.7%) compared to multi-stage approach (10.9 ± 2.5%; p < 0.01) and increased risk of wound dehiscence (16.2 ± 4.8% vs. 2.4 ± 1.1%, respectively; p < 0.01). The incidence of anorectal stenosis was higher following one-stage repair (33.3%) vs. multi-stage approach (10.7%; p < 0.05). No differences were found with regards to redo SARP in both groups (12.9 ± 7.3% vs. 4.8 ± 0.8%; p = ns). At follow-up, the prevalence of soiling and constipation were similar after one-stage (19.7 ± 10.3% and 29.5 ± 5.4%) and multi-stage repair (13.7 ± 8.9% and 28.7 ± 4.4%; p = ns).
conclusionsIn females with RVF, the SARP performed without protective colostomy increases the risk of postoperative complications. However, this one-stage approach seems not to be associated with reduced fecal continence.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.