Shashi Shankar Sharma
Department of Pediatric Surgery, M.G.M Medical College, Indore, IndiaPublications
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Research Article
A Comparative Study of One-stage, Two-stage and Three-stage Posterior Sagittal Anorectoplasty (PSARP) in Female Anorectal Malformations (ARM)
Author(s): Ashok Laddha, Brijesh Lahoti, Maneesh Jholeya, Aditi Deewan*, Shashi Shankar Sharma, Ram Mohan Shukla, Pooja Tiwari and Yashaswi Choudhury
Context: PSARP has been the standard treatment for ARM since the 1980s. PSARP can be done as a single procedure or as a staged procedure (two-stage or three-stage). Two-stage PSARP is a relatively new concept where colostomy and PSARP are done in the same stage, followed by stoma closure as second stage. Two-stage PSARP is a resource effective method, with minimal incidences of wound complications in the management of female ARM. Aim: To compare the short-term complications and resource-effectiveness of one- stage, two-stage and three-stage PSARP in female ARM. Settings and design: A prospective comparative study design was used. Seventy-four females were included in the study and randomly assigned to one of three groups (Groups A, B, and C undergoing one-stage, two-stage, and three-stage surgery, .. Read More»