Comparison of Posterior Sagittal Anorectoplasty (PSARP) with Laparoscopy Assisted Anorectoplasty (LAARP) in the Management of Anorectal Malformations
DOI:
https://doi.org/10.29303/jku.v11i2.746Keywords:
anorectal malformations (ARMs), Posterior Sagittal Anorectoplasty (PSARP), Laparoscopic Assisted Anorectoplasty (LAARP), Functional Evaluation, Complication.Abstract
Anorectal malformations (ARMs) are a rare congenital disorder that predominates in male newborns. ARMs patients are born with an abnormal anal canal either partially or completely. These malformations are divided into three types based on the location of the rectal sac, namely low type, intermediate type, and high type. The most common type of ARMs in male and female is intermediate type. In male it is rectourethral fistula and in female it is rectovestibular. The diagnosis of ARMs can be made by history taking and physical examination, in which newborns will show abdominal distension, no anus and fistula can be found. In general, the management of anorectal malformations is carried out through 3 types of surgery, including perineal surgery, Posterior Sagittal Anorectoplasty (PSARP), and Laparoscopic Assisted Anorectoplasty (LAARP). Treatment options for anorectal malformations depend on their classification and degree of abnormality. PSARP is an operative procedure that is commonly used in the treatment of elevated anorectal malformations. However, laparoscopic- assisted anorectoplasty LAARP has become a new treatment adapted for the management of high and intermediate ARM patients. However, surgery with LAARP is still unclear regarding its functional benefits, so that many studies have been carried out to date regarding the effectiveness of LAARP compared to PSARP as a treatment for ARMs.
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