Objective:To explore the outcomes of different surgical approaches based upon fistula typing for acquired rectovestibular fistula (ARF).Methods:The relevant clinical data were retrospectively reviewed for 61 hospitalized ARF girls from January 2016 to December 2022.The median age was 48(7-132) months.Depending on the specific type of fistula, different surgical approaches were adopted: type Ⅰ (n=41) transrectal repair, type Ⅱ (n=11) transrectal fistula excision and repair type Ⅲ (n=7) and Ⅳ (n=2) inside-out fistula realignment, excision of fistula and transrectal repair.Results:Among them, 59(96.7%) had primary healing of fistula and discharged occurred within 5 to 7 days postoperatively.Two cases (3.3%) had complications.During a follow-up period of 6 to 72 months, perineal appearances were normal and there was no urinary or fecal incontinence or anal stricture.Conclusions:Using different surgical approaches for ARF based upon fistula typing, there are a low complication rate and a rapid postoperative recovery and the prognosis is decent.

Objective:To evaluate the effect of laparoscopic-assisted anorectoplasty in the treatment of children′s congenital anal atresia.Methods:In this study , 49 children undergoing laparoscopic-assisted anorectoplasty between Mar 2009 and Mar 2015 were compared in terms of outcomes with 42 children under going posterior sagittal anorectoplasty during this period.The post-operative complications, bowel functions and courses were evaluated.Results:The ratio of primary healing in laparoscopic-assisted anorectoplasty was higher than posterior sagittal anorectoplasty(22 % vs. 10%, χ 2=4.306, P=0.038), the age of sequential operation in the former was lower than control group [(9.9±6.5) d vs. (13.4±5.1) d, t=2.823, P=0.003]. The perioperative complications were lower than that in the control group(20% vs. 50%, χ 2=8.817, P=0.003), the bowel function was better than control group(χ 2=7.419, P=0.025). Conclusions:Perioperative complications in laparoscopic-assisted anorectoplasty is lower than posterior sagittal anorectoplasty, with better bowel function and higher primary healing rate.