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Research Paper | Pediatric Specialty | India | Volume 12 Issue 4, April 2023 | Popularity: 5.2 / 10

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LAARP (Laparoscopic Assisted Anorectal Pull Through) in Male Arm Learning & Experience at Tertiary Care Center

Dr Milind Joshi, Dr. Shubham Mankar, Dr. Shivaji Sadulwad

Abstract: Anorectal malformation in new born is a challenging surgical scenario. Various treatment modalities are mentioned for different types of malformation in male or female babies. In a male child usually staged repair is advocated wherein in early neonatal period diverting colostomy is made followed by rectal pull through and then colostomy closure. We present our experience of laparoscopy assisted anorectal pull through for 2 ND stage procedure in male children with high anorectal malformation in last 3 years. Material: male children with high anorectal malformation. Method: laparoscopic pull through was done using 3 ports technic. Distal loop of stoma mobilized laparoscopic ally by diving the inferior mesenteric artery. Recto prostatic fistula is divided. Anal sphincter is marked in perineal site in mid line. Sphincter is divided and rectum is pulled down and sutured with sphincter complex. Results: between 2018 - 2020, 9 male children with high ARM were operated by LAARP. All had successful outcome without any complication. Conclusion: LAARP is excellent procedure for high ARM in male children with all advantages of minimally invasive surgery with less chances of urinary tract injuries.

Keywords: LAARP, Laparoscopic Assisted Anorectal Pull Through

Edition: Volume 12 Issue 4, April 2023

Pages: 163 - 164

DOI: https://www.doi.org/10.21275/MR23330001616

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