Reconstruction of Cloacal Defect: Switch Operation – A New Approach
| Autor: | Ashoke Kumar Basu, Kalyani Saha Basu, Kuntal Bhaumik, Jyotsna Basu, Abhishek Aanad |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Journal of Indian Association of Pediatric Surgeons, Vol 29, Iss 4, Pp 334-339 (2024) |
| Druh dokumentu: | article |
| ISSN: | 0971-9261 1998-3891 |
| DOI: | 10.4103/jiaps.jiaps_239_23 |
| Popis: | Introduction: Reconstruction of a cloacal defect in a girl is often difficult and complicated.[1] This is most often done either by the sacro-perineal route or through the posterior sagittal route.[2] The procedures may involve total mobilization of the cloaca with or without the creation of a lower vagina with the help of a loop of vascularized bowel.[3] In our approach, such defects can be corrected using the lower anorectum for the creation of a lower vagina and abdominoperineal pull-through of the proximal divided bowel. This method can be used both in short and long common channel cloaca. Materials and Methods: We have used this procedure in one patient of posterior cloaca and four patients of anterior cloaca. These operations were done in patients of 1 year and 6 months to 4 years. Only one patient is waiting for the closure of the colostomy. Results: In all the cases, the urethra, the vagina, and the anus were successfully separated. Conclusion: This operation restores normal pelvic anatomy and physiology with minimal mutilation of the pelvic floor. |
| Databáze: | Directory of Open Access Journals |
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