PERSISTING CLOACA IN GIRLS. THE ISSUES OF DIAGNOSTICS AND SURGICAL CORRECTION

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Abstract

The article presents the summary of literature data on the persistent cloaca, results of diagnostics and treatment of 16 girls with the mentioned pathology at our clinic. The PC is a multivariant fusion of anatomical structures forming the common canal or urogenital sinus. This explains occurrence of different complications requiring surgeries. The number of concurrent abnormalities with pronounced anatomical and functional disturbances is increased alongside with the length of the common canal. In 4 observations surgeries were performed without colostomy and in 12 cases these were done applying colostomy. Posterior and sagittal anorecto-ureterovaginoplasty procedure was the method of choice for surgical correction. The abdominoperineal approach was used in 3 observations as an addition. 

About the authors

F. A. Otamuradov

Tashkent Pediatric Medical Institute, Tashkent

Email: fake@neicon.ru
Доктор медицинских наук, профессор, заведующий кафедрой госпитальной детской хирургии и онкологии Uzbekistan

N. Sh. Ergashev

Tashkent Pediatric Medical Institute, Tashkent

Author for correspondence.
Email: furkatnet@mail.ru
Старший научный сотрудник – соискатель кафедры госпитальной детской хирургии и онкологии Uzbekistan

References

  1. Fernando M. A., Creightonan S. V., Wood D. The long-term management and outcomes of cloacal anomalies// Pediatr Nephrol.2015. Vol. 30. – pp.759–765.
  2. Hendren WH. Cloaca, the most severe degree of imperforate anus// Ann Surg 1998. – vol. 228, N 3. – pp. 331–346.
  3. Krstic ZD, Lukac M, Lukac R, et al. Surgical treatment of cloacal anomalies// Pediatr Surg Int. 2001. – vol. 17. – pp. 329–333.
  4. Bischoff A., Levvit M. A., Lim F. Y., Guimaraes C., Alberto P. Prenatal diagnosis of cloacal malformations// J. Pediatric Surgery Int., 2010. – Vol. 26. – pp. 1071–1075.
  5. Bischoff A., Calvo-Garcia M. A., Baregamian N.,Levvit M. A., Lim F. Y., et all. Prenatal counseling for cloaca and cloacal exstrophy-challenges faced by pediatric surgeons// J. Pediatr Surg. Int., 2012. – Vol.28. – pp.781–788.
  6. Chitrit Y., Vuillard E., Khung S., Belarbi N., Guimiot F. et all. Cloaca in Discordant Monoamniotic Twins: Prenatal Diagnosis and Consequence for Fetal Lung Development //Am J Perinatol Rep. 2014. Vol.4. – pp. 33–36.
  7. Livingston JC, Elicevik M, Breech L, Crombleholme TM, Peña A,Levitt MA. Persistent cloaca: a 10-year review of prenatal diagnosis// J Ultrasound Med. 2012. – vol. 31, N 3. – pp. 403–407.
  8. Warne S. A., Hiorns M. P., Curry J., Mushtaq I. Understanding cloacal anomalies// Arch Dis Child. 2011. – pp.1–5.
  9. Levitt M. A., Pena A. В кн.: Ashcraft’s Pediatric Surgery 6th Edition. George W. Holcomb III. 2014, pp. 492–514.
  10. Versteegh H. P., Sloots C. E.J., de Jong J. R., et all. Early versus late reconstruction of cloacal malformation: The effects on postoperative complications and long-term colorectal outcome// J. Pediatric Surgery, 2013. –Vol. 48, N 11. – pp. 556–559
  11. Киргизов И. В., Шишкин И. А., Шахтарин А. В., Апросимов М. Н. Хирургическое лечение персистирующей клоаки у детей// Колопроктология. 2014. – №2. – С.21–23.
  12. Nguyen T. L., Tran A. Q. Laparoscopic rectal pull-through for persistent cloaca: an easier approach for a complex anomaly// J. Pediatric Surgery, 2012. – Vol. 47, N 4. – pp. 815–818
  13. Аверин В. И., Ионов А. Л., Караваева С. А., Комисаров И. А., Котин А. Н. и др. Аноректальные мальформации у де- тей (Федеральные клинические рекомендации)// Детская хирургия. 2015. –№4. – С. 29–35.
  14. Begum A., Sheikh A., Mirza B. Reconstructive Surgery in a Patient with Persistent Cloaca// APSP J Case Rep 2011; 2. p 23.
  15. Gupta A., Bischoff A., Peña A., Runck L. A., Guasch G. The Great Divide: Understanding Cloacal Septation, Malformation, and Implications for Surgeons// Pediatr Surg Int. 2014. – Vol. 30, N.11. – pp. 1089–1095.
  16. Levitt MA, Bischoff A, Peña A. Pitfalls and Challenges of Cloaca Repair; How to Reduce the Need for Reoperations // J Pediatr Surg, 2011. – Vol.46, N 6. – pp. 1250–1255.
  17. Versteegh H. P., Iris A. L. M. R., Levitt MA., Sloots C. E. J., Wijnen R. M. H., de Blaauw I. Long-term follow-up of functional outcome in patients with a cloacal malformation: A systematic review// J. Pediatric Surgery, 2013. – Vol. 48, N 11. – pp. 2343–235
  18. Versteegh H. P., Sutcliffe J. R., Sloots C. E. J., Wijnen R. M. H., de Blaauw I. Postoperative complications after reconstructive surgery for cloacal malformations: a systematic review// Tech Coloproctol, 2015. – Vol.19. – pp. 201–207.
  19. Адамян Л. В., Даренков С. П., Шелыгин Ю. А., Глыбина Т. М., Уварова Е. Г. и др. Клиническое наблюдение врожденной аномалии тазовых органов клоакального типа// Акушерство и геникология. 2012. – №8–1. – С. 60–63.
  20. Николаев В. В., Лука В. А. Ректовагинальный синус как результат нераспознанной клоакальной мальформации// Российский вестник детской хирургии, анестезиологии и реаниматологии. 2013.-№4. с.98–101
  21. Чуплак И. И., Лёнюшкин А. И. О клоакальных формах аноректальных аномалий у девочек//Вопросы современной педиатрии.2002.№2, с.71–74.
  22. Levitt M. A., Pena A. cloacal malformations: Lessons learned from 490 cases. Seminars in Pediatric Surgery, 2010. – Vol.19, N2. – pp.128–38.
  23. Pena A., Bischoff A., Lesley B., Emily L., Levvit M. A. Posterior cloaca – further experience and guidelines for the treatment of an unusual anorectal malformation// J. Pediatric Surgery, 2010. – Vol. 45, N 6. – pp. 1234–1240.

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Copyright (c) 2016 Otamuradov F.A., Ergashev N.S.

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