Posterior Sagittal Anorectoplasty (PSARP)

Overview

Anorectal malformations are birth deformities caused by inappropriate development of the anus and rectum (the lower end of the digestive system). This might make it difficult for your child to pass feces. The majority of newborns with anorectal malformations will require surgery to be corrected.

Anorectal malformations (ARMs) may be corrected in 90% of newborn boys with a posterior sagittal approach alone, whereas 10% require an additional abdominal component (with laparotomy or laparoscopy) to mobilize a very high rectum. With the exception of around 30% of cloacas, all ARMs in newborn females may be corrected using the posterior sagittal technique. The rectum or vagina is high enough in these 30% to necessitate an abdominal approach.

the surgeons utilize posterior sagittal anorectoplasty (PSARP) to treat a variety of anorectal and cloacal abnormalities. PSARP and its modifications utilizing laparoscopic technology give higher accuracy in relocating the rectum and anus, minimize damage to adjacent anatomical tissues, reduce post-operative discomfort, and enhance outcomes. The majority of pull-through surgeries are performed on children aged one to six months.