Posterior sagittal anorectoplasty: Important technical considerations and new applications

摘要: Posterior sagittal anorectoplasty (PSARP) is a new technique for the repair of high anorectal malformations. It based upon complete exposure region by means median incision that runs from sacrum to anal dimple, cutting through all muscle structures behind rectum. was learned this procedure external sphincter functionally useful prominent structure. No puborectalis sling, as such, could be identified. possible, however, recognize continuity skin sacral insertion levator ani. Since it impossible pull generally ectatic rectum without destroying present, must tapered allow suturing it. In these anomalies, and urethra (or vagina) are very closely joined, sharing common wall, their separation calls extensive exposure. A number technical details clarified in course applying 54 patients fully discussed. This approach also proved successful management two with rectocloacal fistula, rectal atresia stenosis. Colostomy has been closed 27 fecal continence may described excellent, except those severe unquestionably superior obtained us other techniques.