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Pediatric Surgery International

, Volume 33, Issue 1, pp 15–21 | Cite as

Magnetic resonance imaging (MRI)-assisted laparoscopic anorectoplasty for imperforate anus: a single center experience

  • Tina T. Thomas
  • Daniel H. Teitelbaum
  • Ethan A. Smith
  • Jonathan R. Dillman
  • Ranjith Vellody
  • Marcus D. JarboeEmail author
Original Article

Abstract

Purpose

Surgical procedures for high imperforate anus have ranged from the posterior sagittal anorectoplasty (PSARP) to laparoscopic-assisted anorectoplasty (LAARP). PSARP bisects the sphincter muscle complex, introducing muscle injury and scarring. LAARP uses a straight trocar to traverse an often non-linear sphincter muscle complex. MRI-assisted LAARP (MRI-LAARP) guides the neorectum precisely through the middle of the entire sphincter complex along its trajectory. We present our experience utilizing MRI intraoperatively during LAARP.

Methods/procedure

Ten children underwent MRI-LAARP procedures. Intraoperative MRI was performed to delineate the sphincter complex, and to guide the advancement of an MRI-compatible needle through the center of the complex from skin to the peritoneal cavity. The remainder of the procedure was completed using the standard LAARP technique.

Results

All had successful MRI needle placement through the sphincter complex. Nine patients had successful laparoscopic pull-through procedures; one was converted to open due to severe intraperitoneal adhesions. Postoperative stay averaged 5.4 ± 4.4 days. Out of the ten patients, one child had mild dehiscence of the anal anastomosis requiring revision 11 days postoperatively.

Conclusion

The theoretical advantage of the MRI-LAARP is placing the neorectum through the entire sphincter complex without transecting the muscle. Follow-up of these patients shows good short-term results; however, long-term follow-up will be needed to best assess sphincter and bowel function.

Keywords

MRI-LAARP (laparoscopic-assisted anorectoplasty) MRI-assisted anal pull through Imperforate anus Anorectal malformation 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  1. 1.Department of Pediatric Surgery, C. S. Mott Children’s HospitalUniversity of Michigan Health Care SystemAnn ArborUSA
  2. 2.Department of Radiology and Interventional Radiology, C. S. Mott Children’s HospitalUniversity of Michigan Health Care SystemAnn ArborUSA
  3. 3.Department of RadiologyCincinnati Children’s Hospital Medical CenterCincinnatiUSA
  4. 4.Department of Radiology and Interventional RadiologyChildren’s National Health SystemNW Washington DCUSA

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