Anorectoplasty

Posterior sagittal anorectoplasty (PSARP) is a new technique for the repair of high anorectal malformations. It is based upon complete exposure of the anorectal region by means of a median sagittal incision that runs from the sacrum to the anal dimple, cutting through all muscle structures behind the rectum. It was learned through this procedure that the external sphincter is a functionally useful prominent structure.

Anorectal malformations represent a spectrum of defects, which may be benign, noncomplex with a good functional prognosis, to more severe malformations involving the genitourinary system with poor prognosis for bowel and urinary function. The anal canal is absent in most types of anorectal malformations, therefore one can not expect “normal” bowel functions in most cases of anorectal malformations. Many patients achieve very satisfactory bowel and urinary control, whereas others either remain fecally incontinent or suffer from functional disorders.

The treatment of anorectal malformations has been a difficult challenge for pediatric surgeons for several generations. The fecal incontinence after repair of anorectal malformations has troubled many of the unfortunate children born with these malformations. We present a small series of the entity with short follow-up to assess the child for incontinence and constipation after definitive surgery.

SmartPill Capsule-Based GI Testing

This is a crucial test in evaluating patients with gastrointestinal symptoms such as irritable bowel syndrome (IBS), bloating, nausea, abdominal pain, constipation, and fullness.

smartpil photoIt is pain-free and less invasive than most other GI procedures. Once the capsule is ingested, this device collects important information such as pressure, PH and temperature and transmits this data to a receiver the patient wears on a belt for a period of four days.

The physician then downloads the input to his computer and reviews the test results with the patient. This greatly facilitates the patient’s diagnosis and treatment plan without any discomfort or disruption of normal activities for the patient.


Minimally Invasive Procedures

Experience less pain, minimal scarring,
faster recovery and better results.

Read more about Minimally Invasive Procedures


Robotic Surgery
via Da Vinci

Laparoscopic Surgery

TEM Transanal Endoscopic Microsurgery

NOSCAR/ NOTES Painless Natural Orifice Trans-endoscopic Surgery

Solesta is a sterile gel injected into the anus to treat the symptoms of fecal incontinence.

Esophyx long-term incisionless solution for chronic acid reflux GERD

STARR Staple Transanal Rectal Resection

ENTERRA -- Gastric Electrical Stimulation for Gatroparesis

Barrx (Radiofrequency Ablation in Barrett's Esophagus with Dysplasia

TIF Transoral Incisionless Fundoplication procedure corrects the root cause of GERD

ABS - Artificial Bowel Sphincter)

SECCA - for incontinence

Sacral Nerve Stimulation

Anorectoplasty for anal incontinence

Pelvic rehabilitation for incontinence and
constipation, anal / pelvic pain

Anal Fistula Plug