Cloaca and hydrocolpos: laparoscopic-, cystoscopic- and colposcopic-assisted vaginostomy tube placement

• Published in: Journal of pediatric surgery Vol. 49; no. 12; pp. 1867 - 1869
• Main Authors: Speck, K. Elizabeth, Arnold, Meghan A, Ivancic, Vesna, Teitelbaum, Daniel H
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2014
• Subjects: Abdomen - surgery; Animals; Anus, Imperforate - surgery; Cloaca - abnormalities; Cloaca - surgery; Cloacal malformation; Colostomy; Colposcopy; Colposcopy - methods; Cystoscopy - methods; Cysts - surgery; Drainage; Female; Humans; Hydrocolpos; Hydrocolpos - surgery; Infant, Newborn; Intubation; Laparoscopic; Laparoscopy - methods; Minimally invasive surgical technique; Pediatrics; Surgery; Vagina - surgery; Vaginostomy tube; Hydrocolpos; Vaginostomy tube; Colposcopy; Laparoscopic; Minimally invasive surgical technique; Cloacal malformation
• ISSN: 0022-3468; 1531-5037
• DOI: 10.1016/j.jpedsurg.2014.08.027

Abstract Hydrocolpos presenting at birth in a neonate with a cloacal malformation may lead to massive distension, with compression of adjacent structures. At times, the hydrocolpos requires urgent drainage. Additionally, these neonates need a divided colostomy to divert their fecal stream and prevent genitourinary contamination. We present a novel approach by which these two procedures can be performed as a single operation guided by a combination of cystoscopy, colposcopy, and laparoscopy. This provides a minimally invasive technique with excellent outcome and potentially superior visualization of the necessary intra-abdominal structures.