Journal of pediatric urology · 2013
Total urogenital mobilization by posterior sagittal approach and ileal neovaginoplasty in cloacal repair by a common channel of 4 cm.
Клинический случайСтатьяVideo-Audio MediaНазвание и аннотация: Перевод в очереди
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Macedo Antonio, Rondon Atila, Frank Ricardo, Leslie Bruno, Bacelar Herick, Ottoni Sérgio, Ortiz Valdemar
Аннотация
OBJECTIVE: The total urogenital mobilization (TUM) technique avoids dissection of the vagina from the urinary tract. However, in the case of a long common channel, bowel interposition for vaginal replacement may be necessary. We present a video of the TUM technique in cloacal repair with ileal neovaginoplasty.
METHODS: An 8-month-old female patient with cloaca, presenting a 4-cm common channel, was operated on by the TUM technique, through a perineal sagittal with additional abdominal approach. She had undergone decompressing colostomy at birth. Total urogenital sinus mobilization was performed with ileal neovaginoplasty.
RESULTS: The patient had a good postoperative outcome, an endoscopy of all structures reconstructed was performed at PO day 30, and home dilatation of colon and vagina by parents was initiated.
CONCLUSION: TUM with neovaginoplasty bowel interposition is an effective technique for repairing long common channels.
METHODS: An 8-month-old female patient with cloaca, presenting a 4-cm common channel, was operated on by the TUM technique, through a perineal sagittal with additional abdominal approach. She had undergone decompressing colostomy at birth. Total urogenital sinus mobilization was performed with ileal neovaginoplasty.
RESULTS: The patient had a good postoperative outcome, an endoscopy of all structures reconstructed was performed at PO day 30, and home dilatation of colon and vagina by parents was initiated.
CONCLUSION: TUM with neovaginoplasty bowel interposition is an effective technique for repairing long common channels.