Minimally Invasive Approach to Anorectal Malformations

  • Alberto Peña
  • Andrea Bischoff


The authors recognize the relevance and importance of minimally invasive procedures but also try to illustrate some of the current limitations and contraindications. A review of all publications on laparoscopic repair of anorectal malformation is presented. A detailed description of the misuse and technical errors that led to complications is presented in an effort to try to avoid serious important damage to the pelvic structures when minimally invasive procedures are attempted. Multiple examples are presented. All of this is illustrated with photographic material as well as animations.

Supplementary material

Animation 13.1

Laparoscopic repair of a recto-bladder neck fistula (WMV 22080 kb)

Animation 13.2

Attempt to repair a rectourethral bulbar fistula leaving a posterior urethral diverticulum (WMV 19552 kb)


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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Alberto Peña
    • 1
  • Andrea Bischoff
    • 1
  1. 1.Pediatric SurgeryColorectal Center for Children Cincinnati Children’s HospitalCincinnatiUSA

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