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Information Journal Paper

Title

Intraoperative Sonographic Guided Pull-through Anorectoplasty: A Novel Procedure for Imperforate Anus and Rectourethral Fistula: A Clinical Trial Study

Pages

  6195-6200

Abstract

 Background: Optimal surgical management of the neonate with imperforate anus (IA) depends on determining accurate location of sphincter muscle complex, pouch of rectum and rectourinary fistula. We aimed to investigate a novel minimally invasive technique of anorectoplasty assisted by intraoperative Sonography pull-through for repair of anorectal malformation and rectourinary fistula. Materials and Methods: Eight male patients with anorectal malformation and IA underwent formation of a diverting colostomy within 48 hours after birth. These patients had anorectoplasty about 6-8 weeks postoperatively. A urinary catheter was inserted per urethra into the bladder and Sonography of perineum was carried out under general anesthesia. The neoanus was reconstructed by suturing the pulled-through anorectum to the anal sphincter muscle complex and the skin using absorbable 4/0 sutures. Results: In all cases, the distance of pouch of rectum to the skin was 15-18 mm and entrance of the guide wire to fistula was 6-7 mm. Of eight patients 6 had removal of urinary catheter after two days, and 2 patients after 10 days because the fistula was not closed. The median range of hospital stay was 2. 12 days and follow-up was 30 days. We calibrate all of patients with size 12F dilators. Patients were followed up at one week and one month postoperatively, and all had defecation frequency of 3-5 times a day. There were no complications. Conclusion Intra-operative Sonography guided pulled-through anorectoplasty (ISPA) is a novel and safe technique for surgical treatment of IA and rectourethral fistula. ISPA is a minimally invasive approach, which preserves the external anal sphincter muscle complex with good functional outcome.

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    APA: Copy

    JOODI, MARJAN, FATHI, MEHDI, SABZEVARI, ALIREZA, NAZARZADEH, REZA, Hassani, Mohammad Hossein, AZADMAND, ALI, MOHAMMADPOUR, AHMAD, JAMALI BEHNAM, FARIDEH, Ziaee Mehr, Aghigh, ALAMDARAN, SEYED ALI, Parvizi Mashhadi, Mahdi, Vaziri, Saeed, ALIZADEH, KHALIL, & Keshtgar, Alireza. (2017). Intraoperative Sonographic Guided Pull-through Anorectoplasty: A Novel Procedure for Imperforate Anus and Rectourethral Fistula: A Clinical Trial Study. INTERNATIONAL JOURNAL OF PEDIATRICS, 5(12 (48)), 6195-6200. SID. https://sid.ir/paper/337476/en

    Vancouver: Copy

    JOODI MARJAN, FATHI MEHDI, SABZEVARI ALIREZA, NAZARZADEH REZA, Hassani Mohammad Hossein, AZADMAND ALI, MOHAMMADPOUR AHMAD, JAMALI BEHNAM FARIDEH, Ziaee Mehr Aghigh, ALAMDARAN SEYED ALI, Parvizi Mashhadi Mahdi, Vaziri Saeed, ALIZADEH KHALIL, Keshtgar Alireza. Intraoperative Sonographic Guided Pull-through Anorectoplasty: A Novel Procedure for Imperforate Anus and Rectourethral Fistula: A Clinical Trial Study. INTERNATIONAL JOURNAL OF PEDIATRICS[Internet]. 2017;5(12 (48)):6195-6200. Available from: https://sid.ir/paper/337476/en

    IEEE: Copy

    MARJAN JOODI, MEHDI FATHI, ALIREZA SABZEVARI, REZA NAZARZADEH, Mohammad Hossein Hassani, ALI AZADMAND, AHMAD MOHAMMADPOUR, FARIDEH JAMALI BEHNAM, Aghigh Ziaee Mehr, SEYED ALI ALAMDARAN, Mahdi Parvizi Mashhadi, Saeed Vaziri, KHALIL ALIZADEH, and Alireza Keshtgar, “Intraoperative Sonographic Guided Pull-through Anorectoplasty: A Novel Procedure for Imperforate Anus and Rectourethral Fistula: A Clinical Trial Study,” INTERNATIONAL JOURNAL OF PEDIATRICS, vol. 5, no. 12 (48), pp. 6195–6200, 2017, [Online]. Available: https://sid.ir/paper/337476/en

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