One Stage Anterior Sagittal Sphincter Saving Anorectoplasty (ASSSARP) for the Repair or Rectovestibular Fistula: Mid and Long-term Outcome in Two Tertiary Centers.

One Stage Anterior Sagittal Sphincter Saving Anorectoplasty (ASSSARP) for the Repair or Rectovestibular Fistula: Mid and Long-term Outcome in Two Tertiary Centers. | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article One Stage Anterior Sagittal Sphincter Saving Anorectoplasty (ASSSARP) for the Repair or Rectovestibular Fistula: Mid and Long-term Outcome in Two Tertiary Centers. Akram Mohamed Elbatarny, Sherif Shehata, Mohamed Ashour, Nezar Abou-Halawa This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4126034/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 18 Oct, 2024 Read the published version in BMC Pediatrics → Version 1 posted 10 You are reading this latest preprint version Abstract Purpose This is a retrospective study of 1-stage ASSSARP for RVF including operative details and postoperative complications, functional and cosmetic outcome. Patients and Methods: Records of 41 cases of RVF, managed between April 2010 and September 2019 by one-stage ASSSARP, were reviewed. Preoperative preparation, both early and late postoperative care & complications, hospital stay, and functional & cosmetic outcomes were reported. Results The mean age was 6.6 months. Vaginal tear 5/41 cases, and distal rectal tears 4/41 cases. Mild superficial wound inflammation; 13 patients, Skin dehiscence; 5 patients. No colostomy or redo was needed. The mean hospital stay was 6.1 days. Mean follow-up was 43.13 months; (Range; 24–100 months). Anal stricture; 6 patients. constipation occurred in 14 cases. Soiling grade I occurred in 5 patients. 32 patients > 3 years; 2 patients showed cough/diarrhea incontinence. Conclusion One-stage ASSSARP is safe and gives functional and cosmetic results comparable to other techniques. It provides better access to female anomalies. The avoidance of muscle incision protects against muscle breakdown, if infection sets in, and thus against incontinence. It avoids the morbidity, cost and psychological burden of performing a 3-stage repair. Rectovestibular fistula Anterior Sagittal sphincter-saving anorectoplasty one stage Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Published Journal Publication published 18 Oct, 2024 Read the published version in BMC Pediatrics → Version 1 posted Editorial decision: Revision requested 05 May, 2024 Reviews received at journal 27 Apr, 2024 Reviews received at journal 23 Apr, 2024 Reviewers agreed at journal 17 Apr, 2024 Reviewers agreed at journal 03 Apr, 2024 Reviewers invited by journal 29 Mar, 2024 Editor assigned by journal 28 Mar, 2024 Editor invited by journal 28 Mar, 2024 Submission checks completed at journal 28 Mar, 2024 First submitted to journal 18 Mar, 2024 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4126034","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":285780397,"identity":"42d75451-f590-4b3a-9b8d-72abe27e7680","order_by":0,"name":"Akram Mohamed Elbatarny","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA1klEQVRIiWNgGAWjYDACHgiVYMDeA+HzEa+F5wwDwwEgn414LRI5YC0MBLXw95x9+Olmjk2eueTbg48/5tjJsDEwP3x0A48WibPtxtK529KKLWfnJRsc3JYMdBibsXEOPmvOszEAtRxO3HA7x0zi4DZmoBYeNml8WuTPszH/Bmu5eQakpZ6wFoOzbWwQW27wgLQcJqzF8MwxNmugXxJ39uQYG5zddpyHjZmAX+TOpDHfzt1mk7id/Yzhg8pt1fb87M0PH+P1PiZgJk35KBgFo2AUjAIsAABu2EhywxIV1QAAAABJRU5ErkJggg==","orcid":"","institution":"Tanta University, Faculty of medicine","correspondingAuthor":true,"prefix":"","firstName":"Akram","middleName":"Mohamed","lastName":"Elbatarny","suffix":""},{"id":285780398,"identity":"3f17d8a8-6ec0-44d2-97e9-082f7fad38d5","order_by":1,"name":"Sherif Shehata","email":"","orcid":"","institution":"Tanta University, Faculty of medicine","correspondingAuthor":false,"prefix":"","firstName":"Sherif","middleName":"","lastName":"Shehata","suffix":""},{"id":285780399,"identity":"075799cd-3803-4c70-9cb1-27fd66f74438","order_by":2,"name":"Mohamed Ashour","email":"","orcid":"","institution":"Tanta University, Faculty of medicine","correspondingAuthor":false,"prefix":"","firstName":"Mohamed","middleName":"","lastName":"Ashour","suffix":""},{"id":285780400,"identity":"aaae537d-636b-4ea7-854e-a46667720571","order_by":3,"name":"Nezar Abou-Halawa","email":"","orcid":"","institution":"Faculty of Medicine, South Valley University","correspondingAuthor":false,"prefix":"","firstName":"Nezar","middleName":"","lastName":"Abou-Halawa","suffix":""}],"badges":[],"createdAt":"2024-03-18 22:27:32","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-4126034/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-4126034/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s12887-024-05114-1","type":"published","date":"2024-10-18T15:57:29+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":67149249,"identity":"72647ad6-bcd4-4e7e-bba7-b2c91d0bb313","added_by":"auto","created_at":"2024-10-21 16:12:50","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":1433114,"visible":true,"origin":"","legend":"","description":"","filename":"ASARPMainmanuscriptBMC.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4126034/v1_covered_45719ee2-f132-4953-9cb9-7087689d8450.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"One Stage Anterior Sagittal Sphincter Saving Anorectoplasty (ASSSARP) for the Repair or Rectovestibular Fistula: Mid and Long-term Outcome in Two Tertiary Centers.","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-pediatrics","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"bped","sideBox":"Learn more about [BMC Pediatrics](http://bmcpediatr.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/bped/default.aspx","title":"BMC Pediatrics","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Rectovestibular fistula, Anterior Sagittal, sphincter-saving, anorectoplasty, one stage","lastPublishedDoi":"10.21203/rs.3.rs-4126034/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4126034/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003ePurpose\u003c/h2\u003e \u003cp\u003eThis is a retrospective study of 1-stage ASSSARP for RVF including operative details and postoperative complications, functional and cosmetic outcome.\u003c/p\u003e\u003ch2\u003ePatients and Methods:\u003c/h2\u003e \u003cp\u003eRecords of 41 cases of RVF, managed between April 2010 and September 2019 by one-stage ASSSARP, were reviewed. Preoperative preparation, both early and late postoperative care \u0026amp; complications, hospital stay, and functional \u0026amp; cosmetic outcomes were reported.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eThe mean age was 6.6 months. Vaginal tear 5/41 cases, and distal rectal tears 4/41 cases. Mild superficial wound inflammation; 13 patients, Skin dehiscence; 5 patients. No colostomy or redo was needed. The mean hospital stay was 6.1 days. Mean follow-up was 43.13 months; (Range; 24\u0026ndash;100 months). Anal stricture; 6 patients. constipation occurred in 14 cases. Soiling grade I occurred in 5 patients. 32 patients\u0026thinsp;\u0026gt;\u0026thinsp;3 years; 2 patients showed cough/diarrhea incontinence.\u003c/p\u003e\u003ch2\u003eConclusion\u003c/h2\u003e \u003cp\u003eOne-stage ASSSARP is safe and gives functional and cosmetic results comparable to other techniques. It provides better access to female anomalies. The avoidance of muscle incision protects against muscle breakdown, if infection sets in, and thus against incontinence. It avoids the morbidity, cost and psychological burden of performing a 3-stage repair.\u003c/p\u003e","manuscriptTitle":"One Stage Anterior Sagittal Sphincter Saving Anorectoplasty (ASSSARP) for the Repair or Rectovestibular Fistula: Mid and Long-term Outcome in Two Tertiary Centers.","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-04-02 17:27:33","doi":"10.21203/rs.3.rs-4126034/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2024-05-06T03:56:12+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-04-28T03:51:49+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-04-23T13:50:19+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"67d5d88f-2b55-46ef-9d75-1f4e2bdf2c34_SNPRID","date":"2024-04-18T02:28:43+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"14a726da-81ba-4fca-ac90-49d0d5e45392","date":"2024-04-03T06:28:55+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2024-03-29T06:20:39+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2024-03-28T05:30:05+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2024-03-28T05:22:38+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2024-03-28T05:11:42+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Pediatrics","date":"2024-03-18T22:26:18+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-pediatrics","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"bped","sideBox":"Learn more about [BMC Pediatrics](http://bmcpediatr.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/bped/default.aspx","title":"BMC Pediatrics","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"194a45c1-b760-4dbc-a1b8-8f02a85ac556","owner":[],"postedDate":"April 2nd, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2024-10-21T16:07:19+00:00","versionOfRecord":{"articleIdentity":"rs-4126034","link":"https://doi.org/10.1186/s12887-024-05114-1","journal":{"identity":"bmc-pediatrics","isVorOnly":false,"title":"BMC Pediatrics"},"publishedOn":"2024-10-18 15:57:29","publishedOnDateReadable":"October 18th, 2024"},"versionCreatedAt":"2024-04-02 17:27:33","video":"","vorDoi":"10.1186/s12887-024-05114-1","vorDoiUrl":"https://doi.org/10.1186/s12887-024-05114-1","workflowStages":[]},"version":"v1","identity":"rs-4126034","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4126034","identity":"rs-4126034","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}