{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:01:50Z","timestamp":1792627310338,"version":"4.5.0"},"reference-count":12,"publisher":null,"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Anorectal malformation (ARM) is a common congenital anomaly found in the paediatric age group. Previously, the repair of the vestibular fistula (VF) was performed as three-stage procedure with initial colostomy followed by a definite procedure and, lastly, colostomy closure. At present, a single-stage procedure is preferred, especially in lower anomalies owing to the convenient and time-saving approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The clinical profile and outcome of ASARP for treatment of ARM in females (vestibular anus and perineal fistula).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective analytical study was conducted at Government Medical College, Jammu. A total of 60 patients were included in the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Most of the patients were in the age group of 1\u20135 years (30%), followed by 6 months\u20131 year age group (25%). Forty-five (75%) females had VF while 15 (25%) had perineal fistula. Intraoperative complication was vaginal tear seen in 6 (10%) patients followed by rectal tear seen in 3 (5%) patients. Early post-operative complications were seen in 9 (15%) patients. Wound infection was the most common complication seen in 5 (8.3%) patients, wound dehiscence in 3 (5%) patients and retraction of rectum in 1 (1.6%) patient. Late post-operative complications were seen in 24 (40%) patients. Perineal excoriation was the most common complication seen in 6 (10%) patients, constipation seen in 5 (8.3%) patients, anal stenosis in 4 (6.6%) patients and mucosal prolapse in 4 (6.6%) patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The single-staged ASARP procedure resulted in satisfactory outcomes. It is an excellent procedure for females with VF and perineal fistula. Appropriate selection, preparation of patient, optimal correction with minimal sphincter damage and needful post-operative care of wound give excellent cosmetic and functional outcomes in terms of continence. It also decreases the burden on treating the surgeon, family and psychological stress on the patients and parents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ajps.ajps_116_23","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T11:01:00Z","timestamp":1727175660000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Primary Anterior Sagittal Anorectoplasty Shift from Staged to Single-stage Procedure for Low Anorectal Malformations in Female Children: Our Initial Experience in Single Centre"],"prefix":"10.67481","author":[{"given":"Ab. Hamid","family":"Wani","sequence":"first","affiliation":[{"name":"Department of Surgery, Government Medical College, Jammu, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narinder","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Government Medical College, Jammu, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gurbir","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Government Medical College, Jammu, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satish","family":"Parihar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Government Medical College, Jammu, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"published-online":{"date-parts":[[2024,9,18]]},"reference":[{"key":"R1-20240924","doi-asserted-by":"crossref","first-page":"10","DOI":"10.4103\/0971-9261.145438","article-title":"Anorectal malformations","volume":"20","author":"Gangopadhyay","year":"2015","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"R3-20240924","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.1016\/S0022-3468(96)90241-9","article-title":"Anterior sagittal anorectoplasty for anorectal malformations and perineal trauma in the female child","volume":"31","author":"Wakhlu","year":"1996","journal-title":"J Pediatr Surg"},{"key":"R4-20240924","doi-asserted-by":"crossref","first-page":"4","DOI":"10.4103\/jiaps.JIAPS_2_17","article-title":"Anterior sagittal anorectoplasty with external sphincter preservation for the treatment of recto-vestibular fistula:A new approach","volume":"23","author":"Elsawaf","year":"2018","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"R5-20240924","doi-asserted-by":"crossref","first-page":"20","DOI":"10.4103\/0189-6725.181702","article-title":"One-stage versus three-stage repair in anorectal malformation with rectovestibular fistula","volume":"13","author":"Amanollahi","year":"2016","journal-title":"Afr J Paediatr Surg"},{"key":"R6-20240924","doi-asserted-by":"crossref","first-page":"1191","DOI":"10.1007\/s00383-007-2019-2","article-title":"Anterior sagittal anorectoplasty for anovestibular fistula","volume":"23","author":"Kulshrestha","year":"2007","journal-title":"Pediatr Surg Int"},{"key":"R7-20240924","first-page":"1505","article-title":"Anterior or posterior sagittal anorectoplasty without colostomy for low-type anorectal malformation:How to get a better outcome?J Pediatr Surg","volume":"45","author":"Kuijper","year":"2010"},{"key":"R8-20240924","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/S0022-3468(05)80299-4","article-title":"Development of a new operationfor the repair of rectovestibular fistulas in females with anorectal malformations","volume":"28","author":"Zanotti","year":"1993","journal-title":"J Pediatr Surg"},{"key":"R9-20240924","first-page":"519","article-title":"Rectovestibular fistula with normal anus:A simple resection or an extensive perineal dissection?J Pediatr Surg","volume":"45","author":"Li","year":"2010"},{"key":"R10-20240924","doi-asserted-by":"crossref","first-page":"134","DOI":"10.4103\/jiaps.JIAPS_28_19","article-title":"Anterior sagittal anorectoplasty:Our experience","volume":"25","author":"Goyal","year":"2020","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"R11-20240924","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.jpedsurg.2019.04.008","article-title":"Anterior sagittal anorectoplasty as a technique for the repair of female anorectal malformations:A twenty two-years-single-center experience","volume":"55","author":"Elrouby","year":"2020","journal-title":"J Pediatr Surg"},{"key":"R12-20240924","doi-asserted-by":"crossref","first-page":"456","DOI":"10.12669\/pjms.36.3.1503","article-title":"The early outcome of primary anterior sagittal approach for low anorectal malformations in female patients","volume":"36","author":"Zamir","year":"2020","journal-title":"Pak J Med Sci"},{"key":"R13-20240924","first-page":"153","article-title":"The anterior sagittal anorectoplasty technique (ASARP) for treatment of female anorectal malformations:Our experience","volume":"41","author":"Afzal","year":"2017","journal-title":"Pak Pediatr J"}],"container-title":["African Journal of Paediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.ajps_116_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:49:44Z","timestamp":1782953384000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.ajps_116_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,18]]},"references-count":12,"URL":"https:\/\/doi.org\/10.4103\/ajps.ajps_116_23","relation":{},"ISSN":["0189-6725","0974-5998"],"issn-type":[{"value":"0189-6725","type":"print"},{"value":"0974-5998","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,18]]},"assertion":[{"value":"2023-09-19","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-17","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}