Sphincter preserving anorectoplasty (SPARP) with anterior approach: A revisited and modified technique in the treatment of anorectal malformations

In brief

This article describes a modified sphincter-preserving anorectoplasty (SPARP) using an anterior approach for treating anorectal malformations with rectoperineal and rectovestibular fistulas. The technique aims to reduce complications associated with traditional PSARP, including sphincter damage, dehiscence, and stenosis, by avoiding midline sphincter incision.

• PSARP for ARM carries risks of sphincter transection, perineal body dehiscence, and stenosis despite good outcomes
• SPARP with anterior approach avoids midline sphincter incision, potentially reducing sphincter-related complications
• Modified SPARP technique offers sphincter preservation alternative for rectoperineal and rectovestibular fistulas
• Anterior approach in SPARP may improve surgical outcomes by preserving sphincter complex integrity

Written by the GCMD Library team from the article.