Abstract
The fundamental steps of the procedure called posterior sagittal anorectoplasty are described in this particular chapter. Rectourethral bulbar fistula in males is the most common malformation seen in male patients. It has generally a good functional prognosis, and therefore, this chapter includes the most detailed and graphic description of the key steps of the posterior sagittal surgical technique. The chapter is illustrated with artistic renditions as well as intraoperative photographs and animations to facilitate the understanding of this procedure.
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References
Kitchen PRB (1971) A study of the surgical anatomy of congenital rectobulbar fistula. Aust N Z J Surg 40(3):248–252
Gupta AK, Bhargava S, Rohtagi M (1986) Anal agenesis with recto-bulbar fistula. Pediatr Radiol 16:222–224
Currarino G (1994) Imperforate anus associated with a recto-bulbar-cutaneous fistula. J Pediatr Surg 29(1):102–105
Currarino G (1996) The various types of anorectal fistula in male imperforate anus. Pediatr Radiol 26:512–522
Glasier CM, Seibert JJ, Golladay ES (1987) Intermediate imperforate anus: clinical and radiographic implications. J Pediatr Surg 22(4):351–352
Ohno K, Nakamurs T, Azuma T, Yoshida T, Yamada H, Hayashi H, Masahata K (2008) Anopenile urethral fistula. Pediatr Surg Int 24:487–489. doi:10.1007/s0038300720530
Shumyle A, Taiwo AL, Peña A, Sheldon C, Levitt MA (2011) Acquired posterior urethral diverticulum following surgery for anorectal malformations. J Pediatr Surg 46:1231–1235. doi:10.1016/j.jpedsurg.2011.03.061
Kubota A, Kawahara H, Okuyama H, Oue T, Tazuke Y, Tanaka N, Okada A (2005) Laparoscopically assisted anorectoplasty using perineal ultrasonographic guide a preliminary report. J Pediatr Surg 40:1535–1538. doi:10.1016/jpedsurg.2005.06.008
Lima M, Antonellini C, Ruggeri G, Libri M, Gargano T, Mondardini MC (2006) Laparoscopic surgical treatment of anorectal malformations. Pediatr Med Chir 28(4–6):79–82
Ichijo C, Kaneyama K, Hayashi Y, Koga H, Okazaki T, Lane GJ, Kurosaki Y, Yamataka A (2008) Midterm postoperative clinicoradiologic analysis of surgery for high/intermediate-type imperforate anus: prospective comparative study between laparoscopy-assisted and posterior sagittal anorectoplasty. J Pediatr Surg 43(1):158–162. doi:10.1016/j.jpedsurg.2007.09.037
Rollins MD, Downey EC, Meyers RL, Scaife ER (2009) Division of the fistula in laparoscopic-assisted repair of anorectal malformations-are clips or ties necessary? J Pediatr Surg 44(1):298–301. doi:10.1016/j.jpedsurg.2008.10.032
Podevin G, Petit T, Mure PY, Gelas T, Demarche M, Allal H, Becmeur F, Varlet F, Philippe P, Weil D, Heloury Y (2009) Minimally invasive surgery for anorectal malformation in boys: a multicenter study. J Laparoendosc Adv Surg Tech 19(Suppl 1):S233–S235. doi:10.1089/lap.2008.0137
Yamataka A, Kato Y, Lee KD, Lane G, Kusafuka J, Okazaki T (2009) Endoscopy-assisted laparoscopic excision of rectourethral fistula in a male with imperforate anus. J Laparoendosc Adv Surg Tech 19(Suppl 1):S241–S243. doi:10.1089/lap.2008.0144
Koga H, Kato Y, Shimotakahara A, Miyano G, Lane GJ, Okazaki T, Yamataka A (2010) Intraoperative measurement of rectourethral fistula: prevention of incomplete excision in male patients with high-/intermediate-type imperforate anus. J Pediatr Surg 45(2):397–400. doi:10.1016/j.jpedsurg.2009.10.085
López PJ, Guelfand M, Angel L, Paulos A, Cadena Y, Escala JM, Letelier N, Zubieta R (2010) Urethral diverticulum after laparoscopically-assisted anorectal pull-through (LAARP) for anorectal malformation: is resection of the diverticulum always necessary? Arch Esp Urol 63(4):297–301
De Vos C, Arnold M, Sidler D, Moore SW (2011) A comparison of laparoscopic-assisted (LAARP) and posterior sagittal (PSARP) anorectoplasty in the outcome of intermediate and high anorectal malformations. S Afr J Surg 49(1):39–43
England RJ, Warren SL, Bezuidenhout L, Numanoglu A, Millar AJ (2012) Laparoscopic repair of anorectal malformations at the Red Cross War Memorial Children’s Hospital: taking stock. J Pediatr Surg 47(3):565–570. doi:10.1016/j.jpedsurg.2011.08.006
Jung SM, Lee SK, Seo JM (2013) Experience with laparoscopic-assisted anorectal pull-through in 25 males with anorectal malformation and rectourethral or rectovesical fistulae: postoperative complications and functional results. J Pediatr Surg 48(3):591–596. doi:10.1016/j.jpedsurg.2012.08.001
Liem NT, Quynh TA (2013) Combined laparoscopic and modified posterior sagittal approach saving the external sphincter for rectourethral fistula: an easier and more physiologic approach. J Pediatr Surg 48(6):1450–1453. doi:10.1016/j.jpedsurg.2013.03.007
Yamataka A, Yoshida R, Kobayashi H, Lane GJ, Kurosaki Y, Segawa O, Kameoka S, Miyano T (2002) Intraoperative endosonography enhances laparoscopy-assisted colon pull-through for high imperforate anus. J Pediatr Surg 37(12):1657–1660
Koga H, Okazaki T, Yamataka A, Kobayashi H, Yanai T, Lane GJ, Miyano T (2005) Posterior urethral diverticulum after laparoscopic-assisted repair of high-type anorectal malformation in a male patient: surgical treatment and prevention. Pediatr Surg Int 21(1): 58–60
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9.1 Electronic Supplementary Material
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Posterior urethral diverticulum (WMV 19552 kb)
Sagittal view of the surgical repair in case of rectourethral bulbar fistula (WMV 19392 kb)
Posterior view of the surgical repair in a case of rectourethral bulbar fistula (WMV 110303 kb)
Distal colostogram (WMV 10656 kb)
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Peña, A., Bischoff, A. (2015). Rectourethral Bulbar Fistula. In: Surgical Treatment of Colorectal Problems in Children. Springer, Cham. https://doi.org/10.1007/978-3-319-14989-9_9
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DOI: https://doi.org/10.1007/978-3-319-14989-9_9
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