title: Anterior sagittal transrectal approach (ASTRA) for vaginoplasty after complications of posterior sagittal anorectoplasty.
abstract: Transperineal exposure of the high portion of the vagina is limited. These limitations can be circumvented using ASTRA (anterior sagittal transrectal approach). We report the use of this surgical strategy for the treatment of a case of acquired vaginal atresia after posterior anorectoplasty due to anorectal malformation.
authors.affiliation: Department of Surgery and Pediatric Urology, State Servers Federal Hospital, Rio de Janeiro, Rio de JANEIRO State - RJ, Brazil. lisieux@uol.com.br
authors.forename: Lisieux Eyer
authors.initials: LE
authors.lastname: de Jesus
authors.forename: Laura
authors.initials: L
authors.lastname: Helman
authors.forename: Samuel
authors.initials: S
authors.lastname: Dekermacher
authors.forename: Raquel L
authors.initials: RL
authors.lastname: Bernardo
authors.forename: Cruz Delia M
authors.initials: CD
authors.lastname: Martinez
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D001003:Anal Canal / Q000002:abnormalities* / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007223:Infant; D011183:Postoperative Complications / Q000601:surgery*; D012007:Rectum / Q000002:abnormalities* / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*