title: Anterior perineal anorectoplasty for intermediate and high imperforate anus.
abstract: Anterior perineal anorectoplasty is a new technique for the repair of high imperforate anus. This technique allows direct access and clear visualization of the puborectalis sling and rectal pouch; division of the fistula and mobilization of the rectum can be precisely performed under direct vision, thereby reducing injury to surrounding structures; the pull-through of the rectum is readily facilitated; it obviates the need to change the position of the patient during the procedure; and mobilization of the rectum required to pull the rectum through is minimal, hence the late complication of mucosal prolapse is avoided. Details of the operative procedure are described herein.
authors.forename: S
authors.initials: S
authors.lastname: Ando
authors.forename: S
authors.initials: S
authors.lastname: Yamaguchi
authors.forename: Y
authors.initials: Y
authors.lastname: Sakasaki
mesh_terms: D001003:Anal Canal / Q000601:surgery*; D001006:Anus, Imperforate / Q000601:surgery*; D002648:Child; D006801:Humans; D010502:Perineum / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D013536:Suture Techniques