{Reference Type}: Journal Article
{Title}: Reconstruction of Cloacal Defect: Switch Operation - A New Approach.
{Author}: Basu AK;Basu KS;Bhaumik K;Basu J;Aanad A;
{Journal}: J Indian Assoc Pediatr Surg
{Volume}: 29
{Issue}: 4
{Year}: 2024 Jul-Aug
暂无{DOI}: 10.4103/jiaps.jiaps_239_23
{Abstract}: <B>UNASSIGNED: </B>Reconstruction of a cloacal defect in a girl is often difficult and complicated.[1] This is most often done either by the sacro-perineal route or through the posterior sagittal route.[2] The procedures may involve total mobilization of the cloaca with or without the creation of a lower vagina with the help of a loop of vascularized bowel.[3] In our approach, such defects can be corrected using the lower anorectum for the creation of a lower vagina and abdominoperineal pull-through of the proximal divided bowel. This method can be used both in short and long common channel cloaca.<BR><B>UNASSIGNED: </B>We have used this procedure in one patient of posterior cloaca and four patients of anterior cloaca. These operations were done in patients of 1 year and 6 months to 4 years. Only one patient is waiting for the closure of the colostomy.<BR><B>UNASSIGNED: </B>In all the cases, the urethra, the vagina, and the anus were successfully separated.<BR><B>UNASSIGNED: </B>This operation restores normal pelvic anatomy and physiology with minimal mutilation of the pelvic floor.