Abstract
Purpose: To use endosonography to assess the components and lengths of the pelvic floor muscles (PFM) in patients with high imperforate anus (HIA) during laparoscopy-assisted colon pull-through (LACPT). Methods: Three male infants (Nos. 1, 2, and 3) with HIA and rectourethral fistula were examined. A proctoscopic ultrasonography probe (7.5 MHz, 12 mm in diameter) was inserted along the course of the proposed pull-through canal under laparoscopic control to assess the structure and thickness of the main components of the PFM - that is, the pubococcygeus (PC), puborectalis (PR), muscle complex (MC), and external sphincter (ES) - and measure the length of the entire PFM. Results: Weight at LACPT was 8.0 kg in No. 1, 5.9 kg in No. 2, and 8.5 kg in No. 3. In all cases, the proposed pull-through canal lay centrally within the PFM on endosonography. The length of the PFM was 42 mm in No. 1, 31 mm in No. 2, and 39 mm in No. 3. Conclusion: Intraoperative endosonography during LACPT permitted examination of the PFM...
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
