J Korean Assoc Pediatr Surg.  2006 Jun;12(1):107-114.

Repair of Anorectal Malformation

Affiliations
  • 1Division of Pediatric Surgery University of Ulsan College of Medicine and Asan Medical Center, Seoul, Korea. sckim@amc.seoul.kr

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.

Keyword

Anorectal malformation; Imperforate anus; Posterior sagittal anorectoplasty; Anoplasty

MeSH Terms

Anus, Imperforate
Fistula
Muscles
Rectum
Urinary Tract
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