الفهرس 
anatomical back ground
associated anomaliesOnly 14 pages are availabe for public view
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Abstract
Rectovestibular fistula is the most common ARMs in female patients with incidence one in every 4000 neonates The precise diagnosis is a clinical one requiring only a meticulous inspection of the newborn perineum Several surgical techniques have been described for the correction of this anomaly such as cutback procedure, anal transposition, posterior sagittal anorectoplasty (PSARP) and anterior sagittal anorectoplasty (ASARP), but the final functional outcome is still imperfect. So, the idea of a new approach arose We introduce in our study the sphincter saving technique as a new modification of ASARP procedure in the treatment of rectovestibular fistula combining ASARP technique with complete preservation of the external anal sphincter by sparing its anterior rim and passing the rectum through a tunnel made in the middle of the muscle complex under direct vision. Also, we introduced a new simple scoring system based on a questionnaire to evaluate the functional outcome of patients with treated ARMs.