Abstract

Posterior sagittal anorectoplasty (PSARP) developed by De Vries and Peňa, has become the standard surgical treatment of high anorectal malformations (ARM) from the time of its first description. Georgeson et al had described a new technique for the treatment of high ARM in the year 2000. With this new technique, anorectal pull-through is performed without the need for posterior sagittal incision with laparoscopic assistance. LAARP procedure having precisely defined landmarks of intersphincteric pull-through site, it enables the rectal pouch to be placed in its embryologically correct place through the sphincteric muscle complex, avoiding the challenging “keeping the dissection in the midline” of the PSARP procedure.