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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 1 No. 1 (2010)

Laparoscopically Assisted Anorectoplasty Using Perineal Ultrasonographic Guide

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2010
CONTENTSVolume 01Number 1January 2010
Editorial
Pediatric Surgery – Challenging Speciality in SAARC Region
Devendra K Gupta
03
Review Articles
Revival of Landing's Concept of Infantile Obstructive Cholangiopathy – A Plea to Hand Over the 2 Week Old Jaundiced Full Term Neonate to the Surgeon!
Shilpa Sharma, Devendra K Gupta
37
Postoperative Results Following Surgery for PUJO in Children
Prabudh Goel, Devendra K Gupta
53
Original Articles
Laparoscopically Assisted Anorectoplasty Using Perineal Ultrasonographic Guide
Akio Kubota
06
Laparoscopic Pyeloplasty - Our Early Experience
Gazi Mohammad Zakir Hossain, Mofizur Rahman, Rashedul Hasan
10
A Prospective Comparative Study of the Outcome of Double-Y Pyloromyotomy (Alayet's Pyloromyotomy) and Ramstedt's Pyloromyotomy for the Surgical Management of Infantile Hypertrophic Pyloric Stenosis
Md. Ansar Ali, Md. Sharifuzzaman, Md. Ashraf Ul Huq, Md. Mahbub-Ul Alam
15
Extradural Haematoma in Children: Surgical Experiences and Prospective Analysis of 138 Cases
Sharif Md. Noman Khaled Chowdhury, Abdul Hanif, K M Tarikul Islam, Ehsan Mahmud, Sk. Sader Hossain
19
Evaluation of the Outcome of IRPG 910 and Polypropylene in Terms of Cosmesis and Cost for Skin Closure in Cleft lip Surgery
Md. Akbar Hossain Bhuiyan, Shahanara Chowdhury, Shafiqul Hoque
25
Neonatal Surgery: Demand and Survival Both are Increasing: Eight Years Experience in Dhaka Medical College Hospital, Bangladesh
Abdul Hanif, Kaniz Hasina, Ahmed Zahid Hossain, S M Shamsul Huda, M Kamrul Hassan, Md. Mahbub-Ul Alam, AKM Zahid Hossain
30
Miscellaneous
Neonatal Surgery
Anette Jacobsen
65
Case Reports
Mayer-Rokitansky-Kuster-Hauser (MRKH) Syndrome – A Case Report
Md. Kabirul Islam, Md. Shah Alam, Abdul Hanif, Md. Kamrul Hasan, Mizanur Rahman
70
Endoscopic Removal of Vesical Calculus Through Suprapubic Route: A Case Report
Md. Akbar Hossain Bhuyian, Md. Ashraf Ul Huq, Mahfuzul Kabir, Shafquat Haider Chowdhury
74
Two Case Reports of Peutz Jegher's Syndrome
Abdul Hanif, Kaniz Hasina, Md. Kamrul Hassan, Shah Alam Talukder, Md. Kabirul Islam
77
Ambiguous Genitalia with Perineal Rhabdomyosarcoma: A Case Report
Tahmina Banu, Tanvir Kabir Chowdhury, Md. Mozammel Hoque
80
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Akio KubotaProfessor of Pediatric Surgery, Osaka Medical Center for Maternal and Child Health, Osaka, Japan

Keywords

laparoscopy anorectoplasty ultrasono guided

Abstract

Background/Purpose: As minimal invasive surgery, laparoscopy assisted anorectal pull-through has been reported with new devices. However, it is not easy to create an accurate pull-through canal (PTC), because of the narrow space between the urethra and puborectal sling. The authors describe a new method employing perineal ultrasonography. Methods: The rectourethral prostatic fistula was dissected laparoscopically. Externally, electrostimulation identified the center of the muscle contraction, over which a 1.2 cm of skin incision was made, and the lower part of PTC was created by hemostat forceps guided by electrostimulation. An ultrasonographic probe applied to the perineum demonstrated the urethra, and the forceps was advanced behind the urethra into the pelvic cavity using the ultrasonographic guide. Anorectal pullthrough was performed following dilatation of the PTC with dilators. Results: The authors applied this procedure in 9 cases of male high anomalies. Surgical damages to the urethra, the levator and vertical muscles were not encountered. Postoperative MRI demonstrated a good location of the rectum, and fluoroscopic study showed a good anterior angulation and intact contraction and relaxation of those muscles. Conclusion: The combination of laparoscopic dissection, pinpointing the center of anal sphincter by electrostimulation and identification of the urethra by ultrasonographic images from the perineum facilitated creation of appropriate PTC in the muscle complex.

Journal of Paediatric Surgeons of Bangladesh (2010) Vol. 1 (1): 6–9

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