title: Total perineal reconstruction after major obstetrical injuries with extensive tissue loss: a report of 2 cases.
abstract: Major perineal injuries following obstetrical complications represent difficult problems of reconstruction. We describe 2 such patients with perineal injuries simulating infantile cloacas. Surgical repair using an abdominoperineal pullthrough procedure in 1 patient, and a Bricker loop type of repair in another resulted in successful restoration of function in both. The operative details and basis for the reconstruction are described.
authors.affiliation: Department of Surgery, University Hospital, Kuala Lumpur, Malaysia.
authors.forename: S H
authors.initials: SH
authors.lastname: Lee
authors.forename: D S
authors.initials: DS
authors.lastname: Cheah
authors.forename: S
authors.initials: S
authors.lastname: Poopalarachagan
authors.forename: V
authors.initials: V
authors.lastname: Sivanesaratnam
mesh_terms: D000328:Adult; D005113:Extraction, Obstetrical / Q000009:adverse effects; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000601:surgery*; D000292:Pelvic Inflammatory Disease / Q000209:etiology / Q000601:surgery*; D010502:Perineum / Q000293:injuries / Q000601:surgery*; D011247:Pregnancy; D012002:Rectal Diseases / Q000209:etiology / Q000601:surgery*; D012006:Rectovaginal Fistula / Q000209:etiology / Q000601:surgery*; D014623:Vaginal Diseases / Q000209:etiology / Q000601:surgery*