Rectovestibular Fistula Which Surgical Approaches? (Vestibanus)

Aswan University Hospital

Status: Completed

Conditions: Vestibular Fistulae

Treatments: Procedure: PSARP; Procedure: TSARP; Procedure: Classic ASARP; Procedure: Modified ASARP

Study type: Observational

Funder types: Other

Identifiers

NCT04970160

AswanUH2

Details and patient eligibility

About

This study was a prospective, randomized, comparative study that included female children with rectovestibular fistulae who were selected from patients with anorectal malformations treated at the pediatric surgical unit, Assiut University Hospital during the period from January 2016 to February 2020. The patients were randomly divided into four groups according to the procedure performed: trans- sphincter anorectoplasty(TSARP), posterior sagittal anorectoplasty, classic anterior sagittal anorectoplasty (ASARP), and modified ASARP.

Full description

Background: The management of a vestibular fistula is a challenge for pediatric surgeons. The investigator compared four different operative techniques in terms of postoperative complications, continence, and cosmetic appearance. Patients and methods: This study was a prospective, randomized, comparative study that included female children with rectovestibular fistulae who were selected from patients with anorectal malformations treated at the pediatric surgical unit, Assiut University Hospital during the period from January 2016 to February 2020. The patients were randomly divided into four groups according to the procedure performed: trans- sphincter anorectoplasty(TSARP), posterior sagittal anorectoplasty, classic anterior sagittal anorectoplasty (ASARP), and modified ASARP.

Enrollment: 84 patients

Sex: Female

Ages: 6 months to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Female children aged 6 months to 12 years who had rectovestibular fistulae that had been treated by a single-stage repair were included in this study.

Exclusion criteria

• Exclusion criteria were patients with recurrence, previous anorectal surgery.
• Patients with anovestibular fistulae.
• Patients with rectoperineal fistulas.
• Patients with cognitive impairment.

Trial design

84 participants in 4 patient groups

TSARP

Description:

Is a surgical procedure

Treatment:

Procedure: TSARP

ASARP classic

Description:

Surgical procedure

Treatment:

Procedure: Classic ASARP

PSARP

Description:

Surgical procedure

Treatment:

Procedure: PSARP

Modified ASARP

Description:

Surgical procedure

Treatment:

Procedure: Modified ASARP