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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 1 No. 2 (2010)

Comparison Between One Stage Correction of Vestibular Fistula by Transfistula Anorectoplasty (TFARP) and Anterior Sagittal Anorectoplasty (ASARP)

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2010
CONTENTSVolume 01Number 2July 2010
Editorial
‘Constipation in Children’ – Think Twice Before Starting Treatment
Md. Kabirul Islam
86
Review Articles
Vaccination in Pregnancy
Shamim Fatema Nargis, Md. Shahinur Rahman
158
Original Articles
Operative Outcome of Acute Extradural Haematoma, Operated at Different Time Interval and Review of International Guidelines
MM Ehsanul Haque, S Sultana, SU Ahamed, Md. Abdullah Alamgir
88
Single Stage Correction of Rectovestibular Fistula
Kaniz Hasina, Abdul Hanif, S. M. Shafiqul Alam, Shahin Reza, Nazrul Islam, A. K. M. Mizanur Rahman, S. M. Shamsul Huda, M.M. Masud Pervez, Susankar Kumar Mondal, Shahnoor Islam
99
Bronchogenic Cyst
Mirza Kamrul Zahid, Anwarul Anam Kibria, AKM Razzaque, Md. Shamsul Alam, Shahinur Rahman, Kazi Saiful Islam
106
Comparison Between One Stage Correction of Vestibular Fistula by Transfistula Anorectoplasty (TFARP) and Anterior Sagittal Anorectoplasty (ASARP)
Jaglul Gaffer Khan, Mohammad Kabirul Islam, M. A. Rahaman, Jamila Akter, Kaniz Hasina, Susankar Kumar Mondal, Md. Ansar Ali
111
Correlation Between FNAC and Open Biopsy in Cervical Lymphadenopathy in Children
Tahmina Hossain, Md. Ruhul Amin, MTH Siddiqui, Md. Ashraf Ul Huq, Md. Matiur Rahman
118
Lubrication of Meatus and Circumcision Site for Prevention of Post-circumcision Meatal Stenosis in Children Younger Than Two Years Old
Susankar Kumar Mondal, Kaniz Hasina, Md. Ashraf Ul Huq, Md. Ansar Ali, Md. Mahbub-Ul Alam, Muhammed Moinul Hoque, Jaglul Gaffer Khan, A K M Mizanur Rahman, Shahnoor Islam
127
Postnatal Management of Prenatal Obstructive Hydronephrosis
Mugahid Al-Hassan, Paddy Dewan, Padma Rao
132
Study of Voiding Obstruction in Physiological Phimosis
Shahnoor Islam, AKM Amirul Morshed, Shafiqul Hoque
137
To Manage Infantile Hypertrophic Pyloric Stenosis by "Double-Y Pyloromyotomy" is a better Surgical Approach
Md. Ansar Ali, Kaniz Hasina, Shahnoor Islam, Md. Ashraf Ul Huq, Md. Mahbub-Ul Alam, Susankar Kumar Mondal
143
Use of Betel Leaves in Pediatric Stoma Care
Md. Ashraf Ul Huq, A K M Mizanur Rahman, Tahmina Hossain
148
Laparoscopic Repair of Peptic Ulcer Perforation - Our Initial Experience
Md. Saiful Hoque, Gazi Mohammad Zakir Hossain, Nur Hossain Bhuiyan, Md. Rashedul Hasan, Mayin Uddin Mahmud, Alamgir Rashid Chowdhury
153
Case Reports
Bilateral Lumbar Hernia - a Rare Occurrence in Infant
Shahnoor Islam, AKM Amirul Morshed, Md. Ashraf Ul Huq, Md. Mahbub-Ul Alam, Susankar Kumar Mondal, Kaniz Hasina
162
Inflammatory Pseudotumour of Mesentery - A Case Report
Bilal Mirza, Afzal Sheikh
166
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Jaglul Gaffer KhanMedical officer SOPD, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Mohammad Kabirul IslamProfessor, Department of Pediatric Surgery, Dhaka Shishu Hospital
  • M. A. RahamanAssociate Professor, Department of Pediatric Surgery, Dhaka Shishu Hospital
  • Jamila AkterLecturer, Community Medicine, Uttara Adhunik Medical College, Dhaka
  • Kaniz HasinaAssistant Professor, Department of Pediatric Surgery, Dhaka Medical College & Hospital
  • Susankar Kumar MondalResident Medical Officer, Dhaka Medical College & Hospital
  • Md. Ansar AliDepartment of Pediatric Surgery, Dhaka Medical College & Hospital

Keywords

VF - Vestibular Fistula ASARP TFARP

Abstract

Background: Various innovative approach have been tried for the surgical management of vestibular fistula, most of them have post operative complication like wound infection, wound dehiscence, more hospital stay which compromise the functional out come, financial burden and aesthetic appearance of the perineum. This article details a new technique, Transfistula Anorectoplasty (TFARP), which includes minimal dissection without interruption of perineal body and perineal skin. Materials and methods: This cross sectional comparative study on 43 patients with vestibular fistula conducted in Dhaka Shishu (Children) Hospital from September 2008 to April 2010, about 20 months. Patients were operated according to parent choice after obtaining informed consent and standard bowel preparation. Data on demographics, operation time and postoperative complications were analyzed systematically by SPSS program. Patients were followed up for a period of 2½ months postoperatively. Results: There is no statistical difference in patient population regarding age, geographical distribution and clinical presentation. Mean operation time was 76.5 min for TFARP and 84.34 min for ASARP. Two cases had wound infection after TFARP operation and 11 patients after ASARP operation. One patient developed partial wound dehiscence after TFARP and was healed after conservative treatment within 7 days. On the other hand 5 patients developed partial wound dehiscence and 4 patients developed complete wound disruption after ASARP which were also treated conservatively need more than 02 week on an average. Mean hospital stay were 6.45 days after TFARP operation and mean hospital stay were 7.87 days after ASARP operation. Twenty neonates and infant who were treated by TFARP operation have good bowel movement without laxative and symmetrical anal contraction after stimulation. Conclusion: TFARP is an operation which produces less morbidity and is more effective and superior procedure than that of ASARP operation and gives better aesthetic appearance of the perineum.

Journal of Paediatric Surgeons of Bangladesh (2010) Vol. 1 (2): 111–117

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