Mollard P, Soucy P, Louis D, Meunier P
Hôpital Debrousse, Lyon, France.
J Pediatr Surg. 1989 Oct;24(10):1023-6. doi: 10.1016/s0022-3468(89)80207-6.
In this report, we describe the most recent refinements to the anterior perineal approach originally described by Mollard for the repair of high and intermediate forms of imperforate anus. A skin tube is constructed from perineal skin, passed through the center of the external sphincter, and anastomosed to the fully preserved rectum with or without tapering. The anastomosis lies within the puborectalis sling and is anchored to the striated muscle complex. Sixteen patients have been operated on by this technique with excellent anatomic results in 15 patients and excellent early functional results in patients who are 2 years of age or older.
在本报告中，我们描述了对最初由莫拉尔描述的会阴前部入路进行的最新改进，用于修复高位和中位无肛畸形。用会阴皮肤构建一个皮管，穿过外括约肌中心，与完整保留的直肠进行吻合，可进行或不进行缩窄。吻合口位于耻骨直肠肌吊带内，并固定于横纹肌复合体。16例患者采用该技术进行了手术，15例患者获得了良好的解剖学结果，2岁及以上患者获得了良好的早期功能结果。
