Minimally Invasive Surgery in the Management of Anorectal Malformations

• Autores: Sarah B. Cairo, David H. Rothstein, Carroll M. Harmon
• Localización: Clinics in Perinatology, ISSN 0095-5108, Vol. 44, Nº. 4, 2017, págs. 819-834
• Idioma: inglés
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• Resumen

  • Imperforate anus, a variant of anorectal malformation (ARM), is a common congenital anomaly requiring surgical attention in the newborn period. It may present with a variety of anatomic configurations, largely dependent on the presence and location of a fistula. The location (or characteristics) of a fistula, which usually lies between the gastrointestinal tract and the genitourinary tract or perineum, is often used in determining the type and timing of operative management. This article discusses the work-up and management, modes of treatment and their postoperative outcomes, and continued controversy regarding the use of minimally invasive surgical approaches to ARM.