ArticleTranslational pediatrics2025
Transanal ligation of fistula during laparoscopically assisted anorectal pull-through for rectourethral bulbar fistula-a case series.
Article in Translational pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Rectourethral fistulae (RUFs) are common in boys with anorectal malformations (ARMs). Laparoscopically assisted anorectal pull-through (LAARP) is the preferred approach for treating high/intermediate imperforate anus RUF; however, its application for rectourethral bulbar fistula (RUBF) is contentious due to worries about the remnant of the original fistula (ROOF). Our primary objective is to present the surgical technique for transanal ligation of RUBF and to discuss its merits in mitigating urethral complications related to a ROOF for LAARP surgery. Case Description: Following the complete isolation of the distal RUF during LAARP surgery, a silk thread was introduced into the pelvic region through an anal tunnel within the established sphincter complex. This thread was used to encircle and securely ligate the RUF. This retrospective analysis encompassed four children with RUF who underwent transanal ligation during LAARP surgery between October 2019 and December 2022. We looked at patient demographics, perioperative variables, and the outcomes of the follow-up. Their median age was 65 (range, 52-115) days, the median duration of each procedure was 115 (range, 100-130) minutes. Postoperatively, the catheter was retained for 8 days. Hospital stay also lasted 8 days. In the follow-up patients had normal bowel and urinary tract function without complications such as ROOF, urethral tract injury, anal stenosis or rectal prolapse. Conclusions: The LAARP surgical technique of transanal fistula ligation proved to be feasible and promising for treatment of RUBF. It enhances the precision of fistula ligation and can reduce the incidence of urologic complications.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.