title: [Simultaneous repair of type IV rectovaginal fistula (cloaca) and "ectopic anus" deformity. Presentation of a case and review of the literature].
abstract: 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.
authors.affiliation: Harlem Hospital Center, College of Physicians & Surgeons of Columbia University, USA.
authors.forename: D V
authors.initials: DV
authors.lastname: Saborío
authors.forename: G P
authors.initials: GP
authors.lastname: Saborío
authors.forename: F
authors.initials: F
authors.lastname: Aguirre Romero
authors.forename: A
authors.initials: A
authors.lastname: Noriega Ibarra
mesh_terms: D000328:Adult; D001003:Anal Canal / Q000002:abnormalities* / Q000601:surgery; D002988:Cloaca / Q000601:surgery; D005260:Female; D006801:Humans; D012006:Rectovaginal Fistula / Q000175:diagnosis* / Q000601:surgery
vernacular_title: Reparación simultánea de fístula rectovaginal tipo IV (cloaca) y deformación de tipo "ano ectópico". Presentación de un caso y revisión de literatura.