Abstract
Anorectal abnormalities are classified into supralevator, intermediate, and infralevator types. According to the morphologic findings, different operative procedures are required for reconstruction. For a high anorectal abnormality, an abdominoperineal pull-through is often necessary. A 1-year-old girl with a high anorectal malformation was treated by laparoscopy. The rectal pouch and rectovaginal fistula were dissected, and the pull-through was done under visual control. The anastomosis was preformed extrabdominally at the perineum. There were no postoperative complications, and so far, continence is as good as that seen after conventional procedures.
Get full access to this article
View all access options for this article.