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Abstract

Background : The corrective  management of Anorectal malformations with  recto vestibular in female babies by single stage surgery  with good surgical  yield is a challenge.  Here we assess   the immediate and mid-term outcomes of definitive repair by single stage vs staged repair in cases of Anorectal malformation with recto -vestibular fistula.
Material  and Methods : Consecutively   patients operated for ARM with Recto vestibular fistula  in KLE’s Dr Prabhakar Kore Hospital ,Belagavi  were taken in the study.22 patients who  met inclusion criteria were included in the study and were divided into 2 Groups by randomization .A prospective comparative study was conducted between Jan 2017 to Dec 2024 with minimum follow up of 5 monthss.
RESULTS:[22] Patients were included (Group A:Single stage /primary repair group[11], Group B:Staged surgery group[11]) . Both the groups had a comparable results however the rates of infection and continence issues were slightly more in primary repair patients. Patient compliance and quality of life scoring was better in primary repair patients (Group A).
Conclusion-The outcomes of primary repair and multi staged repair for ARM with recto-vestibular fistula were comparable however the long term issues and complications were acceptable in both groups. A systemic review and meta-analysis is required to assess the outcomes in large sample size of patients operated  by primary repair (ASARP) procedures.[7]