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Related Concept Videos

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Inflammatory Bowel Disease V: Surgical Management

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Related Experiment Video

Updated: Jun 13, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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Laparoscopic assisted anorectal pull through: Reformed techniques.

Karthik S Bhandary1, V Kumaran, G Rajamani

  • 1Department of Pediatric Surgery, Coimbatore Medical College Hospital, Coimbatore, India.

Journal of Indian Association of Pediatric Surgeons
|April 27, 2010
PubMed
Summary

This study refined laparoscopic assisted anorectal pull through (LAARP) techniques for high anorectal malformations, showing satisfactory outcomes and manageable complications in pediatric patients. The modified approach simplifies the procedure and improves results.

Keywords:
Anorectal malformationsLaparoscopic assisted anorectal pull throughpuborectalis musclepull through channel.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Innovation

Background:

  • High anorectal malformations require complex surgical correction.
  • Laparoscopic assisted anorectal pull through (LAARP) is a minimally invasive approach.
  • Refining LAARP techniques is crucial for improving patient outcomes.

Purpose of the Study:

  • To evaluate modifications in the laparoscopic assisted anorectal pull through (LAARP) technique.
  • To analyze the postoperative outcomes and complications of the refined LAARP procedure.
  • To assess the efficacy of LAARP in treating high anorectal malformations.

Main Methods:

  • A retrospective study of 40 patients (2 months to 6 years) undergoing LAARP for high anorectal malformations from January 2001 to May 2009.
  • Analysis of staged versus single-stage procedures.
  • Evaluation of surgical modifications, including transcutaneous bladder stitch and fistula management.

Main Results:

  • 39 patients underwent staged procedures; one had a single-stage repair.
  • One conversion to open surgery was necessary due to rectal length issues.
  • Complications included mucosal prolapse (6), anal stenosis (3), and adhesive obstruction (2).
  • Postoperative follow-up showed satisfactory progress and adequate weight gain.

Conclusions:

  • Reformed LAARP techniques offer advantages such as excellent visualization and simplified dissection.
  • The modified procedure is simpler, time-saving, and yields reproducible results.
  • The technique facilitates an adequate pull-through channel, leading to satisfactory functional outcomes.