title: The use of a long split rectal tube to aid in pull-through procedures for imperforate anus.
abstract: 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.
authors.affiliation: Department of Surgery, Children's Hospital, Dublin, Ireland.
authors.forename: M T
authors.initials: MT
authors.lastname: Corbally
authors.forename: A S
authors.initials: AS
authors.lastname: Adam
authors.forename: R J
authors.initials: RJ
authors.lastname: Fitzgerald
mesh_terms: 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*