The posterior sagittal approach to repair of vaginal atresia and imperforate anus.
In 1982 deVries and Peña reintroduced the posterior sagittal approach for the repair of high imperforate anus, and it is already being utilized by many pediatric surgeons worldwide. This approach, the so-called "Kraske approach," has been used in the past for access to difficult rectal lesions, and has been applied to cloacal anomalies, again by Peña and deVries. We have recently applied this technique to repair a mid-vaginal atresia in a 12-year-old girl who also had chronic constipation and fecal incontinence following neonatal imperforate anus repair. The posterior sagittal approach allowed simultaneous reconstruction of the anus and vagina and may have application to the primary repair of ano-vaginal anomalies in infancy. The case history and a discussion of the technique form the basis of this report.
D000015:Abnormalities, Multiple; D001006:Anus, Imperforate / Q000150:complications / Q000601:surgery*; D002648:Child; D005242:Fecal Incontinence / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008599:Menstruation Disturbances / Q000209:etiology; D008722:Methods; D012086:Reoperation; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery