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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 9 No. 1-2 (2018)

Outcome of posterior versus anterior sagittal ano-rectoplasty in patients of anorectal malformation (ARM) with vestibular fistula

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2018
CONTENTSVolume 09Number 1 & 2January - July 2018
Editorial
Surgical care in birth defects
Tahmina Banu
01
Review Articles
Operative complications of urogenital tract during repair of anorectal malformation (ARM) in boys: A review
Md Samiul Hasan, Ashrarur Rahman
44
Original Articles
Role of USG and diuretic renogram in evaluation of outcome in children after Anderson-Hynes dismembered pyeloplasty for unilateral PUJ obstruction
Ipsita Biswas, Abhi Kumar Chakraborty, Ayub Ali, Gajendra Nath Mahato
03
Evaluation of testis sparing surgery in paediatric testicular tumor
Partha Sarathy Majumder, Anuradha Karmaker, Syed Abdul Adil, Ashfaque Nabi, Jaglul Gaffer Khan, Kaniz Hasina, Abdul Hanif Tablu
08
Outcome of posterior versus anterior sagittal ano-rectoplasty in patients of anorectal malformation (ARM) with vestibular fistula
Ayesha Sadia, Md Khurshid Alam Sarwar, Tanzil Farhad, Tanvir Kabir Chowdhury
13
Laparoscopic assisted transanal pull through and Duhamel pull through for the treatment of short segment Hirschsprung’s disease: A comparative study of outcome
Shah Md Ahsan Shahid, Md Nowshad Ali, Khondokar Seheli Nasrin, Shantona Rani Paul, Md Zamil Hossain
21
Abdominal trauma in children: Experience from north-west region of Bangladesh
Md Zamil Hossain, Md Nowshad Ali, Amar Kumar Saha, S M Ahsan Shahid, Shantona Rani Paul
28
Inguinal herniotomy in children with and without peri-operative chemoprophylaxis
Md Mizanur Rahman, Shahnoor Islam, Md Moinul Huque
33
Outcome of circumcision in children with or without antibiotics in a tertiary Hospital
Supratim Howlader, Khandker Md Raihan Hossain, Saiful Ahmed, Afruzul Alam, Md Asif Iqbal, Mahmudul Hasan, Ainun Ahmed, Sahadat Hossain
39
Case Reports
Benign Phyllodes tumor in an 11-year-old premenarchal girl
Shahnoor Islam, AKM Amirul Morshed, A H M Abdul Hai, Tania Akter
50
Razor blade ingestion in an infant: A case report
Nazmul Islam, Refoyez Mahmud, Md Samiul Hasan, Ashrarur Rahman
53
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Ayesha SadiaDepartment of Paediatric Surgery, Chittagong Medical College Hospital, Chattogram
  • Md Khurshid Alam SarwarProfessor, Department of Paediatric Surgery, Chittagong Medical College Hospital, Chattogram
  • Tanzil FarhadDepartment of Paediatric Surgery, Chittagong Medical College Hospital, Chattogram
  • Tanvir Kabir ChowdhuryAssistant Professor, Department of Paediatric Surgery, Chittagong Medical College Hospital, Chattogram

Keywords

Anorectal malformation Vestibular Fistula Posterior sagittal ano-rectoplasty Anterior sagittal anorectoplasty

Abstract

Background: Vestibular fistula is the commonest ARM in females. Operative techniques described for treating vestibular fistula mainly include posterior sagittal anorectoplasty (PSARP) and anterior sagittal anorectoplasty (ASARP). Very few studies have been carried out to compare these two procedures. The study was aimed to compare the outcome following PSARP and ASARP for vestibular fistula. Methods: This quasi-experimental study was performed in the Department of Paediatric Surgery, Chittagong Medical College Hospital. Twenty patients with vestibular fistula, both with and without colostomy, were subjected to anorectoplasty either through PSARP (n=10) or ASARP (n=10). Patients were followed up until 3 months. Patients of both groups were compared for peri-operative and postoperative complications, cosmetic outcomes, and bowel function. Results: The two groups were comparable regarding age, maturity at birth, clinical presentation, sacral ratio, and associated congenital anomalies. Median operation time was 112.5 min for PSARP and 140.0 min for ASARP (p=0.280). Four cases had wound infection and subsequent wound dehiscence after ASARP operation and none after PSARP operation (p=0.08). Two cases had mucosal prolapse after ASARP and one after PSARP (p=1.0). All patients, irrespective of the surgical approaches, had good bowel function except one patient with ASARP who developed faecal incontinence. Conclusions: PSARP was associated with lesser complications and better cosmetic outcomes than ASARP for the treatment of vestibular fistula but these were not statistically significant.

Journal of Paediatric Surgeons of Bangladesh (2018) Vol. 9 (1 & 2): 13–20

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