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  • Title: Primary perineal rectovaginoanoplasty for supralevator imperforate anus in female neonates.
    Author: Aluwihare AP.
    Journal: J Pediatr Surg; 1990 Feb; 25(2):278-81. PubMed ID: 2303999.
    Abstract:
    Sixteen girls (including 12 neonates), all of whom had supralevator anorectal anomalies usually with a high rectovaginal fistula, were treated by a primary rectovaginoanoplasty. None of these patients had any opening onto the perineum or into the vestibule. Through the perineum, with a dissection behind the vagina, the rectum was freed of any fistulous attachment and brought through the puborectalis sling to the perineum. Of the 12 patients now aged 2-years and over, 11 can control solid stools, and three soil with diarrhea only. The operation is easier than other available procedures, and the complications were minimal.
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