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Repair of Anorectal Malformation

JKAPS 2006 Jun;12(1):107-14
Published online June 30, 2006
Copyright © 2006 Korean Association of Pediatric Surgeons.

Seong Chul Kim, M.D.

Division of Pediatric Surgery University of Ulsan College of Medicine and Asan Medical Center Seoul, Korea
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Major advances in the management of anorectal malformations have been achieved during the last 20 years. Alberto Peña 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 Peña himself, only 37.5% of all cases were considered totally continent. Anorectal malformation is still acontinuing challenge for the pediatric surgeons. (J Kor Assoc Pediatr Surg 12(1):107~114), 2006.
Keywords : Anorectal malformation, Imperforate anus, Posterior sagittal anorectoplasty, Anoplasty

 

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