{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:24:12Z","timestamp":1787775852370,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T00:00:00Z","timestamp":1744243200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Anorectal malformations (ARMs) are among the predominant birth anomalies seen in pediatric surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>The aim of the study was to create a detailed comparison of short-term (3\u20136 months) outcomes in female patients having rectovestibular fistula (RVF) operated through a single stage by both techniques, posterior sagittal anorectoplasty (PSARP) versus anterior sagittal anorectoplasty (ASARP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Our prospective cohort study involved 36 females whose ages fell between 3 and 12 months and who developed congenital ARM in RVF or rectoperineal fistula. Participants went through an equal random categorization into two groups: Group 1: patients with RVF or rectoperineal fistula who underwent single-staged PSARP and Group 2: patients with RVF or rectoperineal fistula who underwent single-staged ASARP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There was a notable association between the incidence of wound infection and the hospital stay period, as with total parenteral nutrition (TPN) duration and the start of enteral feeding. 7 (63.4%) patients developed dehiscent wounds, and their hospital stay was significantly longer as opposed to the others with (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Wound infection was significantly associated with longer TPN duration among infected wounds compared to another group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Wound dehiscence was significantly associated with wound infection among both groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.025 and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.002). Hospitalization was significantly prolonged between the two groups, with the PSARP group longer than ASARP (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.003 and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>ASARP may be a better option in low-resource settings, as it is associated with shorter hospital stays, fewer wound infections, and fewer complications than PSARP. Patients who underwent PSARP experienced more extended hospital stays, more infections, and longer TPN durations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_208_24","type":"journal-article","created":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T04:00:14Z","timestamp":1744257614000},"page":"322-329","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Single-staged Anterior versus Posterior Sagittal Anorectoplasty for Low Female Arms"],"prefix":"10.4103","volume":"30","author":[{"given":"ElSayed Mohammed Elsayed","family":"Kheder","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed A.","family":"Tageldin","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Cairo, 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