The use of a long split rectal tube to aid in pull-through procedures for imperforate anus.
Problems with loss of correct orientation of the pull-through rectal pouch during posterior sagittal anorectoplasty (PSARP) for high imperforate anus can occur during laparotomy after perineal closure is complete. A simple modification of the de Vries-Peña technique is described that facilitates preservation of orientation and precise anatomical neomuscle construction. A slotted rubber tube preserves correct anatomical orientation of the neorectal pouch and allows accurate construction of the muscle complex around the tube.
Corbally
M T
MT
Department of Surgery, Children's Hospital, Dublin, Ireland.
Adam
A S
AS
Fitzgerald
R J
RJ
D001006:Anus, Imperforate / Q000473:pathology / Q000601:surgery*; D003107:Colorectal Surgery / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007440:Intubation / Q000379:methods*; D016737:Proctocolectomy, Restorative / Q000295:instrumentation / Q000379:methods*