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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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 ORIGINAL ARTICLE
Year : 2013  |  Volume : 18  |  Issue : 1  |  Page : 5-6

Nonclosure of rectourethral fistula during posterior sagittal anorectoplasty: Our experience


SJKC Trust's Paed-Surgery Centre and P.G Institute, Sangli, Maharastra, India

Correspondence Address:
Sudhakar Jadhav
SJKC Trust's Paed-Surgery Centre and P.G Institute, Opp. DSP office, Vishrambag, Sangli, Maharastra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9261.107004

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Aim: To study the effect of nonclosure of rectourethral (RU) fistula and to do a comparative analysis of the complications with and without nonclosure of RU fistula during posterior sagittal anorectoplasty (PSARP) in anorectal malformation cases (ARM). Materials and Methods: A total of 68 cases of ARM were included in the study group, of which 34 cases were those in whom RU fistula was not closed (group A) during PSARP. Another 34 successive cases were included in study group B in whom the RU fistula was closed as is conventionally done by using interrupted sutures. Results: Comparatively, group A had none or minimum urological complications as compared to Group B. Conclusion: RU fistula closure is not mandatory during PSARP and nonclosure avoids urological complications. It especially avoids urethral complications, which are 100% preventable.






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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

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