Anoplasty
The staff of the Colorectal Center at Cincinnati Children's Hospital Medical Center provides information about anoplasty in Posterior Sagittal Anoplasty (PSARP).
The anoplasty is created with a small amount of rectal-skin tension which will help to retract the mucosa and prevent prolapse. The muscle complex sutures anchoring the rectum also help to prevent such prolapse.
The anoplasty is started by placing the four cardinal main sutures, and then continuing with interrupted sutures to complete 16 stitches. The skin is closed with a subcuticular 5-0 nylon suture. As soon as the sutures that were holding the anoplasty are cut, the rectal mucosa disappears due to the effect of good muscle structures, the anchoring of the muscle complex, as well as the tension of the anastomosis.
