Sphincter preserving anorectoplasty (SPARP) with anterior approach: A revisited and modified technique in the treatment of anorectal malformations
Author / Expert
Marko Mesić, Marla A. Sacks, Dalibor Divković, Mario Kopljar, Andrija Car, Stjepan Višnjić, Carlos Reck Burneo, Ivo de Blaauw, Mario Mašić, Mateja Majnarić, Nenad Žakula, Francisca Tolete Velček
Topic overview
Surgical management of anorectal malformations (ARM) such as rectoperineal and rectovestibular fistulas frequently involves posterior sagittal anorectoplasty (PSARP). Despite good outcomes, PSARP risks sphincter transection, perineal body dehiscence, and stenosis. We revisited and modified the sphincter-preserving anorectoplasty (SPARP) technique with an anterior approach, hypothesizing that avoiding midline sphincter incision would improve outcomes.
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