Repair of Anorectal Malformation.
- Author:
Seong Chul KIM
1
Author Information
1. Division of Pediatric Surgery University of Ulsan College of Medicine and Asan Medical Center, Seoul, Korea. sckim@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Anorectal malformation;
Imperforate anus;
Posterior sagittal anorectoplasty;
Anoplasty
- MeSH:
Anus, Imperforate;
Fistula;
Muscles;
Rectum;
Urinary Tract
- From:Journal of the Korean Association of Pediatric Surgeons
2006;12(1):107-114
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Major advances in the management of anorectal malformations have been achieved during the last 20 years. Alberto Pena introduced the posterior sagittal anorectoplasty (PSARP) in 1982. He divided all the sphincteric muscles at the exact posterior midline and fully exposed the crucial anatomy. He was able to manage the associated fistula under direct vision with minimal urinary tract injury. The rectum could be placed in the middle of the sphincteric muscle complex. Even with PSARP by Alberto Pena himself, only 37.5% of all cases were considered totally continent. Anorectal malformation is still acontinuing challenge for the pediatric surgeons.
