{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:44:08Z","timestamp":1782956648562,"version":"3.54.5"},"reference-count":14,"publisher":null,"issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>High and intermediate types of anorectal malformations (ARMs) may be managed by either open posterior sagittal anorectoplasty (PSARP) or by laparoscopic-assisted anorectoplasty (LAARP). Most of the literature favours one approach over the other based on retrospective analysis. We performed this study with the aim to compare the short-term outcomes of both procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>All paediatric patients with high and intermediate ARM were enrolled and randomised into two groups: open PSARP group and LAARP group. Outcome parameters such as faecal continence using Kelly's scoring system, anal manometric parameters and post-operative complications were compared between the groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 16 patients were included with equal distribution in the open PSARP and LAARP group. Patient's variables were comparable in both the groups. Five patients developed immediate post-operative complications, three in the LAARP and two in the open group. The mean Kelly's score was 3.63 \u00b1 1.6 versus 2.57 \u00b1 1.9 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.132) for LAARP and PSARP group, respectively. The mean resting pressure was 34.71 \u00b1 6.26 cm of H\n                      <jats:sub>2<\/jats:sub>\n                      O and 35 \u00b1 6.16 cm of H\n                      <jats:sub>2<\/jats:sub>\n                      O (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.384) in LAARP and open group, respectively. Rectoanal inhibitory reflex was demonstrated in 6\/7 patients in LAARP group and 5\/7 patients in open group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Faecal continence in patients undergoing either of the procedure is comparable. However, wound-related complications are lesser in LAARP procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ajps.ajps_176_20","type":"journal-article","created":{"date-parts":[[2022,6,23]],"date-time":"2022-06-23T11:18:01Z","timestamp":1655983081000},"page":"160-163","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of Clinical Outcome and Anal Manometry following Laparoscopic-assisted Anorectoplasty and Posterior Sagittal Anorectoplasty in Patients with High and Intermediate Anorectal Malformation"],"prefix":"10.67481","volume":"19","author":[{"given":"Chhabi Ranu","family":"Gupta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tejal","family":"Bhoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anup","family":"Mohta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamta","family":"Sengar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niyaz A.","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek","family":"Manchanda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parveen","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"reference":[{"key":"R1-8-20240829","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1016\/S0022-3468(82)80126-7","article-title":"Posterior sagittal anorectoplasty","volume":"17","author":"deVries","year":"1982","journal-title":"J Pediatr Surg"},{"key":"R2-8-20240829","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1089\/pei.1998.2.5","article-title":"Endosurgical intrapuborectal reconstruction of high anorectal anomalies","volume":"2","author":"Willital","year":"1998","journal-title":"Pediatr Endosurg Innov 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