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Sphincter preserving anorectoplasty (SPARP) with anterior approach: A revisited and modified technique in the treatment of anorectal malformations

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Topic overview

This article describes a modified sphincter-preserving anorectoplasty (SPARP) using an anterior approach for treating anorectal malformations with rectoperineal and rectovestibular fistulas. The technique aims to reduce complications associated with traditional PSARP, including sphincter damage, dehiscence, and stenosis, by avoiding midline sphincter incision.

Key takeaways

  • PSARP for ARM carries risks of sphincter transection, perineal body dehiscence, and stenosis despite good outcomes
  • SPARP with anterior approach avoids midline sphincter incision, potentially reducing sphincter-related complications
  • Modified SPARP technique offers sphincter preservation alternative for rectoperineal and rectovestibular fistulas
  • Anterior approach in SPARP may improve surgical outcomes by preserving sphincter complex integrity

Keywords

Anorectal Malformations Sphincter Preserving Anorectoplasty Sparp Technique Pediatric Colorectal Surgery Rectovestibular Fistula Anterior Approach Psarp Alternative

Hashtags

#AnorectalMalformations #PediatricSurgery #ColorectalSurgery #SphincterPreserving

Full article text

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How to cite: GlobalCastMD. Sphincter preserving anorectoplasty (SPARP) with anterior approach: A revisited and modified technique in the treatment of anorectal malformations. GlobalCastMD Medical Library. 2025-07-26. https://dev.library.globalcastmd.com/article/10727?via_space=staycurrentmd

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