Posterior Sagittal Anorectoplasty: Male

Abstract

This chapter describes the posterior sagittal/laparoscopic/surgical procedure for posterior sagittal anorectoplasty (including laparoscopic ligation of __fistula) if anatomically appropriate, as performed by the following approaches: open and laparoscopic. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: identification of the fistula, marking the limits of the sphincter mechanism, dissection of the fistula/rectum from urethra/prostatic urethra or bladder neck, mobilization of rectum, and performing the anoplasty.