Anterior Sagittal Anorectoplasty with External Sphincter Preservation for the Treatment of Recto-vestibular Fistula: A New Approach.

Context: To our knowledge, there is no description of anterior sagittal anorectoplasty (ASARP) with external anal sphincter preservation and passing neorectum in the middle of muscle complex under direct vision for the treatment of recto-vestibular fistula (VF).

Aim: This study evaluates a new modification combining ASARP with under vision sphincter preservation.

Subjects And Methods: This prospective study was conducted on thirty female infants with VF.