Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, University of Cape Town, Rondebosch, 7700 Cape Town, South Africa.
J Pediatr Surg. 2011 Aug;46(8):1665-8. doi: 10.1016/j.jpedsurg.2011.04.009.
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.
尽管肛门直肠畸形的外科治疗取得了进展，但许多小儿外科医生仍然认为直肠阴道瘘的修复是一种具有挑战性的疾病。后肛是指尿生殖窦向后偏移形成与直肠相通的后肛。通常，实现足够的尿道和阴道长度可能具有挑战性。我们描述了一种新的技术，即在单个肠系膜血供上构建一个小肠环，将其分为两个功能性管状结构：一个用于尿道，另一个用于阴道替代。
