The treatment of ARM has evolved from a simple cutback/translocation anoplasty
to abdominoperineal pull through, and its modification to the currently practiced procedure of posterior sagittal anorectoplasty (PSARP).
The midline of the skin was closed, and the anoplasty
was completed by suturing the rectal section to be anastomized to the skin so that it remained within the borders of the external sphincter (Figure 6).
In addition, other treatment approaches may be adapted which include endorectal muscular or mucosal advancement flap, fistulous tract filling with fibrin or cyanoacrylate glue, island flap anoplasty
, anal fistula plug, ayurvedic seton, radiofrequency ablation, glue containing adipose-derived stem cells, ligation of intersphincteric fistula tract and video-assisted anal fistula treatment8.
For severe anal stenosis, one should consider surgical interventions including anoplasty
Within the included operations, 5 patients had undergone bilateral surgery, 4 had a second look combined approach tymp anoplasty
, and further 4 patients had revision surgery or a conversion procedure (e.g., canal wall up converted to canal wall down).
Indications for internal medioposterior with anoplasty
of lateral sphincterectomy during hemorrhoidectomy.
Three neonates required additional surgery at the time of TOF-OA repair: one term neonate required a minor anoplasty
and two preterm patients required laparotomy (a Ladd's procedure and colostomy for imperforate anus respectively).
Bhasker Patel, a cardiologist, admitted Lewellyn Ouellette to a hospital for a percutaneous transluminal (balloon) anoplasty
of his right superficial femoral artery.
* Dermal island flap anoplasty
. This teardrop incision is a modification of a procedure that Dr.
Sutures were placed between the rectal stump and surrounding skin by about 12-16 stitches of 4-0 Vicryl (Anoplasty
This waiting period is beneficial in differentiating between children with perineal fistula, who may be effectively treated using only a minimal anoplasty
from those who require colostomy with further evaluation using distal cologram.
60 neonates had low anomaly and were treated with anoplasty