A New Approach to Cloaca: Laparoscopic Separation of the Urogenital Sinus.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Farokh R DemehriBelinda H Dickie

Abstract

Introduction: Cloaca malformation repair strategy is strongly dictated by common channel and urethral lengths. Mid to long common channel cloacas are challenging and often require laparotomy for dissection of pelvic structures. The balance of common channel and urethral lengths often dictates the approach for reconstruction. Laparoscopy has been utilized for rectal dissection but not for management of the urogenital (UG) structures. We hypothesized that laparoscopy could be applied to UG separation in reconstruction of cloaca malformations. Methods: Records were reviewed for 9 children with cloaca who underwent laparoscopic rectal mobilization and UG separation. Clinical parameters reviewed included demographics, relevant anatomic lengths, operative duration, transfusion requirements, and perioperative complications. Results: Repair was perfomed at a median (interquartile range) age of 12 (7, 15) months. Common channel length as measured by cystoscopy was 3.5 (3.3, 4.5) cm. There were no intraoperative complications. Transfusion requirements were minimal. Postoperative length of stay was 6 (5, 11) days. One patient developed a urethral web and 2 developed vaginal stenosis. One patient later underwent a laparotomy for obstructio...Continue Reading

References

Jun 29, 2000·Journal of Pediatric Surgery·K E GeorgesonC T Albanese
Mar 27, 2007·The Journal of Urology·Marc-David LeclairDuncan T Wilcox
Mar 24, 2010·Seminars in Pediatric Surgery·Marc A Levitt, Alberto Peña
Mar 28, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Shao-tao TangLi Yang
Apr 14, 2012·Journal of Pediatric Surgery·Nguyen Thanh Liem, Tran Anh Quynh
Nov 28, 2015·African Journal of Paediatric Surgery : AJPS·Jacques BirrauxPierre-Yves Mure
Mar 13, 2016·Seminars in Pediatric Surgery·Lesley Breech
Mar 13, 2016·Seminars in Pediatric Surgery·Risto J Rintala
Apr 21, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Chen WangWei Cheng
Aug 4, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Xianghai RenWei Cheng
Sep 27, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ahmed E FaresGamal El Tagy

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Citations

Sep 23, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Martin LacherMarc A Levitt

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Methods Mentioned

BETA
dissection

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