[Simultaneous repair of type IV rectovaginal fistula (cloaca) and "ectopic anus" deformity. Presentation of a case and review of the literature].
A 40-year-old woman presented with a 7-year-old type IV rectovaginal fistula (cloaca) and an associated "ectopic anus" deformity. The initial step of the operation was the creation of two v-shaped full-thickness skin flaps. Subsequently, a longitudinal repair was performed. The initial elevation of the flaps facilitates the identification of muscular structures needing repair. The overlap of the flaps as a final step of the operation corrects the "ectopic anus" deformity. Critical steps of the operation are described in detail and illustrated.
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Harlem Hospital Center, College of Physicians & Surgeons of Columbia University, USA.
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Aguirre Romero
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F
Noriega Ibarra
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A
D000328:Adult; D001003:Anal Canal / Q000002:abnormalities* / Q000601:surgery; D002988:Cloaca / Q000601:surgery; D005260:Female; D006801:Humans; D012006:Rectovaginal Fistula / Q000175:diagnosis* / Q000601:surgery
Reparación simultánea de fístula rectovaginal tipo IV (cloaca) y deformación de tipo "ano ectópico". Presentación de un caso y revisión de literatura.