Tailoring Surgical Intervention By Comparing Outcomes Of Definitive One Stage Vs Staged Repair For Female Anorectal Malformations With Recto Vestibular Fistula

Authors

  • Kaushika Hubballi
  • Santosh B Kurbet

Abstract

Background : The corrective  management of Anorectal malformations with  recto vestibular in female babies by single stage surgery  with good surgical  yield is a challenge.  Here we assess   the immediate and mid-term outcomes of definitive repair by single stage vs staged repair in cases of Anorectal malformation with recto -vestibular fistula.

Material  and Methods : Consecutively   patients operated for ARM with Recto vestibular fistula  in KLE’s Dr Prabhakar Kore Hospital ,Belagavi  were taken in the study.22 patients who  met inclusion criteria were included in the study and were divided into 2 Groups by randomization .A prospective comparative study was conducted between Jan 2017 to Dec 2024 with minimum follow up of 5 monthss.

RESULTS:[22] Patients were included (Group A:Single stage /primary repair group[11], Group B:Staged surgery group[11]) . Both the groups had a comparable results however the rates of infection and continence issues were slightly more in primary repair patients. Patient compliance and quality of life scoring was better in primary repair patients (Group A).

Conclusion-The outcomes of primary repair and multi staged repair for ARM with recto-vestibular fistula were comparable however the long term issues and complications were acceptable in both groups. A systemic review and meta-analysis is required to assess the outcomes in large sample size of patients operated  by primary repair (ASARP) procedures.[7]

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Levitt MA, Peña A. Outcomes from the correction of anorectal malformations. Curr Opin Pediatr. 2005;17(3):394–401.

.Levitt MA, Peña A. Anorectal malformations. Orphanet J Rare Dis. 2007;2:33.

.de Blaauw I, Wijers CHW, Schmiedeke E, Bartels E, Holland-Cunz S, Gamba P, et al. First results of a European collaboration on functional outcomes in anorectal malformations. J Pediatr Surg. 2013;48(7):1445–9.

4.Mollard P, de Vries W, Moog R, Duhamel J. Long-term functional outcomes and quality of life in anorectal malformations. Pediatr Surg Int. 2014;30(4):387–92.

.Wong CWY, Wong KKY, Tam PKH. Management of anorectal malformations. Neonatology. 2013;103(3):238–45.

Sharma S, Gupta DK. Post-operative functional outcome in anorectal malformations. J Indian Assoc Pediatr Surg. 2017;22(2):79–85.

.Rialon KL, Yacob DT, van der Steeg HJJ, et al. Functional outcomes for patients with anorectal malformations: a systematic review and evidence‑based guideline. J Pediatr Surg. 2025. doi:10.1016/j.jpedsurg.2025.00088

Downloads

Published

2025-07-21

How to Cite

1.
Hubballi K, B Kurbet S. Tailoring Surgical Intervention By Comparing Outcomes Of Definitive One Stage Vs Staged Repair For Female Anorectal Malformations With Recto Vestibular Fistula. J Neonatal Surg [Internet]. 2025Jul.21 [cited 2025Sep.20];14(32S):6024-40. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/8282

Issue

Vol. 14 No. 32S (2025): Journal of Neonatal Surgery

Section

Original Article

License

Copyright (c) 2025 Kaushika Hubballi, Santosh B Kurbet

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

You are free to:

  • Adapt — remix, transform, and build upon the material for any purpose, even commercially.

Terms:

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.