Title

Urethroplasty and vaginoplasty by a single small bowel interposition graft: A novel technique for cloacal reconstruction

Document Type

Journal Article

Publication Date

8-1-2011

Journal

Journal of Pediatric Surgery

Volume

46

Issue

8

DOI

10.1016/j.jpedsurg.2011.04.009

Keywords

Cloaca; Neovagina; Small bowel graft; Urethroplasty; Vaginal replacement; Vaginoplasty

Abstract

Despite the advances in surgical management of anorectal malformations, repair of cloacal malformations remains a challenging condition for many pediatric surgeons. Posterior cloaca is present where urogenital sinus deviates posteriorly to form a cloaca with rectum. Often, achieving adequate urethral and vaginal length can be challenging. We describe a novel technique where a loop of small bowel on a single mesenteric blood supply could be constructed in 2 functional tubular structures: one for urethral and the other for vaginal replacement. © 2011 Elsevier Inc.

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