Laparoscopically assisted anorectovaginoplasty for selected types of female XXXX .

@entity1 @entity292 @entity2463 @entity3622
PURPOSE: The aim of this study was to describe laparoscopically assisted anorectovaginoplasty (LAARVP) for the repair of selected types of female @entity2463 . METHODS: Five cases (case 1, @entity3622 with a high rectum; case 2, rectovestibular @entity292 with double vagina; case 3, rectovestibular @entity292 with absent vagina; case 4, @entity292 with absent vagina; case 5, cloaca) were reviewed. RESULTS: @entity1 4 had undergone a posterior sagittal anorectoplasty without vaginoplasty at another hospital after misdiagnosis of @entity292 . Mean age at LAARVP was 15.4 months. At LAARVP, the @entity292 was divided in cases 1 through 4 and dissected as low as possible in case 5. In cases 3 and 4, the distal @entity292 was used to create the neovagina. In cases 1 through 3, the proximal rectum was mobilized and brought through the pelvic floor sphincter muscles using Georgeson's laparoscopically assisted colon pull-through technique through a minimal perineal incision. A posterior sagittal incision was required in cases 4 and 5. However, the initial laparoscopic approach was very helpful in both cases. Currently, all @entity1 are well after a mean follow-up period of 32.2 months. Mean current age is 4.0 years. @entity1 1 through 3 are continent, @entity1 4 is incontinent with soiling, and @entity1 5 is too young to be evaluated. CONCLUSIONS: LAARVP helps to achieve low dissection of the @entity292 , gives optimal view of the pelvic organs, provides accurate placement of the anorectal pull-through, and minimizes abdominal perineal scars.
