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Eur J Pediatr Surg 2025; 35(02): 089-097
DOI: 10.1055/a-2523-2329
Review Article

Cutting-Edge Pediatric Colorectal Surgery: A Half-Century of Innovations in Technique which have Transformed Care for Anorectal Malformation

Thomas O. Xu 
1   Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States
,
Julia Ryan
1   Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States
2   Department of Surgery, George Washington School of Medicine, Washington, District of Columbia, United States
,
Marc A. Levitt
1   Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States
2   Department of Surgery, George Washington School of Medicine, Washington, District of Columbia, United States
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Abstract

The field of pediatric colorectal surgery has been transformed over the last 50 years with innovations that have dramatically improved surgical techniques, reduced complications, and improved patients' lives. Specific to anorectal malformations (ARMs), an innovative operation for their repair, the posterior sagittal anorectoplasty (PSARP), came in the 1980s and was relatively new compared to other operations for congenital problems which were mostly developed in the 1950s. Since that major advance, further cutting-edge surgical techniques have been developed and are reviewed here.

Keywords

anorectal malformations - surgical innovation - posterior sagittal anorectoplasty - perineal body preserving PSARP


Publication History

Received: 16 January 2025

Accepted: 22 January 2025

Article published online:
24 March 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

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