{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T11:16:38Z","timestamp":1791544598684,"version":"4.3.4"},"reference-count":15,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2007,7,25]],"date-time":"2007-07-25T00:00:00Z","timestamp":1185321600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2007,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The present article details a new technique for the repair of rectovestibular fistula.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Twenty\u2010five patients with rectovestibular fistula, between 13\u00a0days and 4 years of age underwent surgical correction by transfistula anorectoplasty (TFARP). The technique, described in detail, involves mobilization of the fistula and the rectum through the fistula and creation of a new anus in the anatomically normal site by preserving both the perineal skin bridge (skin between the neo\u2010anus and the posterior fourchette) and the levator muscle.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean operating time was 85\u00a0min, and the mean hospital stay was 5\u00a0days. Moderate anal stenosis developed in 1 patient and was treated successfully by anal dilatations using Hegar dilators. A diverting colostomy was not required in any patient, and none of the patients developed rectal prolapse. Eleven patients who are now 3 years of age or older have voluntary bowel movements with good fecal continence scores. The 14\u00a0neonates and infants, who are still too young to be evaluated for continence, have symmetric anal contraction to stimulation and strong squeeze on digital rectal examination. The average number of bowel movements per day was three to five, without the need for any laxative or enema.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Transfistula anorectoplasty is a simple surgical procedure that does not divide the levator muscle or the perineal body. Preservation of these structures contributes significantly toward improvement of the aesthetic appearance of the perineum and of fecal continence.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-007-9169-1","type":"journal-article","created":{"date-parts":[[2007,7,24]],"date-time":"2007-07-24T02:28:50Z","timestamp":1185244130000},"page":"1894-1897","source":"Crossref","is-referenced-by-count":6,"title":["One\u2010stage Correction of Rectovestibular Fistula by Transfistula Anorectoplasty (TFARP)"],"prefix":"10.1002","volume":"31","author":[{"given":"Akshay","family":"Pratap","sequence":"first","affiliation":[{"name":"Department of Surgery B.P. Koirala Institute of Health Sciences Dharan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit Prasad","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Surgery B.P. Koirala Institute of Health Sciences Dharan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikal Chandra","family":"Shakya","sequence":"additional","affiliation":[{"name":"Department of Surgery B.P. Koirala Institute of Health Sciences Dharan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandra Shekhar","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Surgery B.P. Koirala Institute of Health Sciences Dharan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satyendra Narayan","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Anesthesia B.P. Koirala Institute of Health Sciences Dharan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ritoban","family":"Sen","sequence":"additional","affiliation":[{"name":"Department of Surgery B.P. Koirala Institute of Health Sciences Dharan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,7,25]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"35","article-title":"Anorectal malformations","volume":"4","author":"Pena A","year":"1995","journal-title":"Semin Pediatr Surg"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20103468(82)80448\u2010X"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103468(92)90331\u2010Z"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383\u2010005\u20101501\u2010y"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103468(92)90310\u20104"},{"key":"e_1_2_6_7_2","first-page":"1022","volume-title":"Pediatric Surgery, 4th Edition","author":"Templeton J","year":"1986"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103468(92)90394\u2010M"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20103468(96)90164\u20105"},{"key":"e_1_2_6_10_2","first-page":"464","article-title":"Perineal anal tranplant in low anorectal anomalies","volume":"90","author":"Saxeno N","year":"1981","journal-title":"Surgery"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00176413"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800760117"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103468(93)90323\u2010D"},{"key":"e_1_2_6_14_2","first-page":"204","article-title":"The surgical treatment of low anal defects and vestibular fistulas","volume":"6","author":"Heinen FL","year":"1997","journal-title":"Semin Pediatr Surg"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20109610(00)00491\u20108"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2005.12.021"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-007-9169-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-007-9169-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-007-9169-1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T15:01:05Z","timestamp":1703602865000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-007-9169-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,7,25]]},"references-count":15,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2007,9]]}},"alternative-id":["10.1007\/s00268-007-9169-1"],"URL":"https:\/\/doi.org\/10.1007\/s00268-007-9169-1","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,7,25]]}}}