Reconstructive surgery for cloacal anomalies

This paper describes a variety of surgical techniques which have been employed in three patients with cloacal anomalies, at the Kobe Children's Hospital during a period from 1977 to 1983. The patients presented with malformations in which the urethra, vagina and rectum converge at the high leve...

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Bibliographic Details
Published inZeitschrift für Kinderchirurgie Vol. 40; no. 1; p. 31
Main Authors Kimura, K, Ueoka, K, Tsugawa, C, Tanikaze, S, Matsumoto, Y
Format Journal Article
LanguageEnglish
Published Germany 01.02.1985
Subjects
Anus, Imperforate - surgery
Child, Preschool
Cloaca - abnormalities
Cloaca - surgery
Colon - surgery
Colostomy
Female
Humans
Infant
Infant, Newborn
Male
Suture Techniques
Urethra - abnormalities
Vagina - abnormalities
Vagina - surgery
Wound Healing
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Summary:This paper describes a variety of surgical techniques which have been employed in three patients with cloacal anomalies, at the Kobe Children's Hospital during a period from 1977 to 1983. The patients presented with malformations in which the urethra, vagina and rectum converge at the high level of cloaca. Staged approach was mandatory in these patients. A loop colostomy with the distal loop of colon separated from the fecal stream and a decompressing vaginostomy are the initial procedures for this form of malformations. Vaginoplasty is required in some patients for pullthrough to the perineum. In those in whom the vagina and colon are separately pulled through, a posterior sagittal approach is convenient.
ISSN:0174-3082