Abdominoperineal Tunnel Crafted with Alken's Telescopic Dilators: A Novel Technique!
Uday Sankar Chatterjee1, Ashoke Kumar Basu1, Sachchidananda Das1
1Department of Pediatric Surgery, Park Clinic, Kolkata, West Bengal, India.
Background:
Abdomino-perineal pull through procedure needs perineal dissection and for that swap of supine to prone may be necessary. To avoid that as well as to avoid neuro-muscular damage; we are describing a simple minimal invasive procedure with help of Alken's telescopic dilators.
Patients & Methods:
We created abdomino-perineal tunnel with Alken's telescopic dilators to bring down the lumen of intestine in perineum in eight patients.
Results:
Operative time happened to be less and procedure found to be less traumatic. All the eight patients had satisfactory outcome.
Conclusions:
Actually, we have repurposed the Alken's dilator for creation of abdomino-perineal tunnel or track to get benefit of minimal dissection of perineum during pull-through procedure as well as to avoid neuro-muscular damage.
