Abstract
Anterior perineal anorectoplasty is a new technique for the repair of high imperforate anus. This technique allows direct access and clear visualization of the puborectalis sling and rectal pouch; division of the fistula and mobilization of the rectum can be precisely performed under direct vision, thereby reducing injury to surrounding structures; the pull-through of the rectum is readily facilitated; it obviates the need to change the position of the patient during the procedure; and mobilization of the rectum required to pull the rectum through is minimal, hence the late complication of mucosal prolapse is avoided. Details of the operative procedure are described herein.
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Ando, S., Yamaguchi, S. & Sakasaki, Y. Anterior perineal anorectoplasty for intermediate and high imperforate anus. The Japanese Journal of Surgery 17, 213–216 (1987). https://doi.org/10.1007/BF02470603
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DOI: https://doi.org/10.1007/BF02470603