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Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
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Published on: July 12, 2018

Clinical experience with persistent cloaca.

Min-Jeng Cho1, Tae-Hoon Kim, Dae-Yeon Kim

  • 1Department of Pediatric Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Journal of the Korean Surgical Society
|November 9, 2011
PubMed
Summary
This summary is machine-generated.

Persistent cloaca management in children requires initial drainage, often including vaginostomy or cystostomy, to prevent complications. Long-term follow-up is crucial for assessing surgical outcomes in these complex anorectal malformations.

Keywords:
Anorectal malformationHydrocolposPersistent cloacaPosterior sagittal anorectovaginourethroplasty

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Area of Science:

  • Pediatric Surgery
  • Congenital Malformations
  • Anorectal Malformations

Background:

  • Persistent cloaca is a severe anorectal malformation presenting significant surgical challenges.
  • Management is complicated by associated hydrocolpos and/or dilated urinary bladder.
  • Surgical approaches vary due to the complex and individualized nature of the malformations.

Purpose of the Study:

  • To describe surgical management experiences in children with persistent cloaca.
  • To highlight the importance of appropriate initial drainage strategies.
  • To evaluate outcomes and complications associated with surgical interventions.

Main Methods:

  • Retrospective review of 16 children diagnosed with persistent cloaca.
  • Analysis of initial management, including drainage procedures (cystostomy, vaginostomy).
  • Review of corrective surgical procedures, primarily posterior sagittal anorectovaginourethroplasty (PSARP).

Main Results:

  • Twelve of 16 patients presented with enlarged bladder or vagina at birth.
  • Failure to perform initial drainage (vaginostomy/cystostomy) was associated with earlier complications or need for drainage tube insertion.
  • One patient without hydrocolpos drainage died from sepsis; 3 of 9 patients undergoing PSARP required reoperation due to complications.

Conclusions:

  • Vaginostomy with or without cystostomy is recommended for patients with anatomical malformations, hydrocolpos, and bladder enlargement to mitigate complications.
  • Long-term follow-up is essential to monitor the effects of vaginal drainage on bladder dilation and to assess the ultimate results of corrective surgery.