In this Update Course Rewind from the 13th Annual Update Course in Pediatric Surgery, Dr. Jamie Harris—joined by Drs. Nelson Rosen, Annie Le-Nguyen, Aaron Garrison, and Elizabeth Speck—explores one of the most debated questions in colorectal surgery: when is the optimal timing for PSARP in patients with rectovestibular fistula?

Key Highlights:

Early vs. Delayed PSARP: Both early repair (during the newborn admission) and delayed repair (1–3 months of age) are shown to be equally safe, with no significant differences in complications, reoperations, or readmissions.

What the Data Shows: Recent multi-institutional studies (NSQIP and PCPLC) found no difference in 30-day outcomes between early and delayed repairs, rei ...