title: Primary perineal rectovaginoanoplasty for supralevator imperforate anus in female neonates.
abstract: Sixteen girls (including 12 neonates), all of whom had supralevator anorectal anomalies usually with a high rectovaginal fistula, were treated by a primary rectovaginoanoplasty. None of these patients had any opening onto the perineum or into the vestibule. Through the perineum, with a dissection behind the vagina, the rectum was freed of any fistulous attachment and brought through the puborectalis sling to the perineum. Of the 12 patients now aged 2-years and over, 11 can control solid stools, and three soil with diarrhea only. The operation is easier than other available procedures, and the complications were minimal.
authors.affiliation: Department of Surgery, University of Peradeniya, Sri Lanka.
authors.forename: A P
authors.initials: AP
authors.lastname: Aluwihare
mesh_terms: D001003:Anal Canal / Q000601:surgery*; D001006:Anus, Imperforate / Q000601:surgery*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010502:Perineum / Q000601:surgery; D012006:Rectovaginal Fistula / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D013524:Surgical Flaps; D014621:Vagina / Q000601:surgery*