Fig. 1

Thirteen-month-old female with recto-perineal fistula underwent limited sagittal anorectoplasty. a In the supine position, we can see the anus anteriorly displaced (black arrows are pointing to the normal predestined site of the anus). b Dissection of the anorectum starts on the posterior and lateral aspects. c Separation of the anorectum from the intimately adherent vagina on the anterior aspect. d Anoplasty performed after repositioning of the anorectum backwards at the predestined site of the anus