Publication: Single stage Anterior Sagittal Anorectoplasty (ASARP) for Anorectal Malformations with Vestibular Fistula and Perineal Ectopic Anus in Females: A New Approach
| creativeworkseries.issn | ISSN 1990-7974 eISSN 1990-7982 | |
| dc.contributor.author | Chaudhary, Ramananda Prasad | |
| dc.contributor.author | Thapa, Bijay | |
| dc.contributor.author | Thana, Santosh | |
| dc.contributor.author | Singh, Pradeep B | |
| dc.date.accessioned | 2026-06-10T10:43:24Z | |
| dc.date.available | 2026-06-10T10:43:24Z | |
| dc.date.issued | 2010 | |
| dc.description | Ramananda Prasad Chaudhary Consultant Pediatric Surgeon, Kanti Children’s Hospital, Kathmandu, Nepal Bijay Thapa Medical Officers, Kanti Children’s Hospital, Kathmandu, Nepal Santosh Thana Medical Officers, Kanti Children’s Hospital, Kathmandu, Nepal Pradeep B Singh Medical Officer, Kanti Children’s Hospital, Kathmandu, Nepal | |
| dc.description.abstract | Abstract: Introduction: Despite a better understanding of the embryology, anatomy of anorectal malformations and of the physiology of continence, the management of children born with imperforate anus continues to be a surgical challenge and is still fraught with numerous complications and often leads to less than perfect qualitative results. Pediatric patients with recto-vestibular fistula have good prognoses in terms of bowel function when properly treated. Aim & Objective: The study was designed to assess the surgical morbidity of single stage Anterior Sagittal Anorectoplasty (ASARP). Methodology: This prospective study was carried for a period of 26 months. It included a total of 48 female patients (aged 0 - 14 years) with diagnosis of Anorectal Malformations (ARM) with vestibular fistula or perineal ectopic anus. In ASARP, Patient in lithotomy position, the anterior portion of sphincter muscles were cut through a midline perineal skin incision, rectum was separated from the vagina & then rectum was pulled through the center of these muscles. The perineal body was reconstructed and the normal appearance of perineum was achieved. Results: Short-term surgical outcome was satisfactory in all cases. No one needed colostomy. Conclusion: Single-stage ASARP is a good approach in experience hands for ARM with vestibular fistula and perineal ectopic anus in females and thereby complications and time involved in staged procedures including colostomy can be avoided. | |
| dc.identifier | https://doi.org/10.3126/jnps.v30i1.2458 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/6427 | |
| dc.language.iso | en_US | |
| dc.publisher | Nepal Paediatric Society (JNPS) | |
| dc.subject | Anterior sagittal anorectoplasty | |
| dc.subject | anorectal malformations | |
| dc.subject | perineal ectopic anus | |
| dc.subject | vestibular fistula | |
| dc.title | Single stage Anterior Sagittal Anorectoplasty (ASARP) for Anorectal Malformations with Vestibular Fistula and Perineal Ectopic Anus in Females: A New Approach | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 43 | |
| oaire.citation.startPage | 37 | |
| relation.isJournalIssueOfPublication | 9716d73e-1aa3-4a7a-a617-8c8dd2ca8298 | |
| relation.isJournalIssueOfPublication.latestForDiscovery | 9716d73e-1aa3-4a7a-a617-8c8dd2ca8298 | |
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