08/08/2026
👧 Study alert on low in girls
📍 What was studied:
Rectoperineal fistula (RPF) and rectovestibular fistula (RVF) are the most common low ARMs in girls and often require early surgical correction.
🛠️ Approach:
One-step ventral + dorsal in 77 infants without prior colostomy
⏱️ Median operative time: 34 min
🏥 Median hospital stay: 2 days
Key findings:
✅ Abnormal anatomy was seen in all cases
✅ No secondary needed.
✅ 98% symptom resolution
✅ 97% success rate
✅ All girls achieved spontaneous bowel movements at follow-up
📈 Take-home message:
RPF/RVF share consistent anatomic abnormalities, and one-step ventral and dorsal proctoplasty offers precise anatomical correction with encouraging early outcomes.
Read the whole article here: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2590-5697