Reply to Letter to the Editor: Vacuum-assisted closure (VAC) prevents wound dehiscence following posterior sagittal anorectoplasty (PSARP): An exploratory case-control study

Abstract

We are very excited for the Letter to the Editor sent by Bruna Aliotto Nalin Tedesco and colleagues from Botucatu Medical School, São Paulo, Brazil [1]. First of all, we would like to thank the authors for their positive feedback on our recently published study describing the utilization of the vacuum-assisted closure (VAC) therapy following posterior sagittal anorectalplasty (PSARP) [2]. Indeed, we showed that the use of VAC embedded in a perioperative treatment protocol (preoperative bowel preparation, +/- loperamide, intravenous antibiotics, and total parenteral nutrition) has a potential to prevent wound dehiscence of the neoanus and reconstructed perineal body after PSARP.