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 pre...

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Bibliographic Details
Published in:	Journal of pediatric surgery Vol. 28; no. 2; p. 193
Main Authors:	Corbally, M T, Adam, A S, Fitzgerald, R J
Format:	Journal Article
Language:	English
Published:	United States 01-02-1993
Subjects:	Anus, Imperforate - pathology Anus, Imperforate - surgery Colorectal Surgery - instrumentation Colorectal Surgery - methods Humans Intubation - methods Proctocolectomy, Restorative - instrumentation Proctocolectomy, Restorative - methods
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Description
Summary:	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.
ISSN:	0022-3468
DOI:	10.1016/S0022-3468(05)80273-8