Early postoperative feeding in single-stage repair of anorectal malformation with vestibular or perineal fistula is not associated with increased wound complications

Anorectal malformations (ARM) encompass a broad spectrum of anomalies where a normal anal opening is not present within the sphincter complex muscles. This occurs in 1 in 5000 live births [1]. It is vital to determine the location of the anatomic fistula and distal rectum to guide operative planning and to accurately compare outcomes. To facilitate this, classification systems to standardize malformation definitions have been created. The Wingspread classification distinguished high, intermediate, and low malformations, followed by the Krickenbeck classification that organized malformations into major clinical groups with rare/regional variants [2].