title: Perineal reconstruction with bilateral bilobed flap for cloacal-like defect after childbirth.
abstract: Fourth degree lacerations of the vaginal wall and perineum following childbirth can cause cloacal-like defects of the perineum. The loss of the anterior anal sphincter and resultant thinning of the perineum and rectovaginal septum can lead to fecal incontinence and difficulties with sexual activity. This article introduces a technique to combine repair of the anterior anal sphincter with reconstruction of the perineal body with bilateral pedicled bilobed flaps.
authors.affiliation: Division of Plastic Surgery, Main Line Health System, Bryn Mawr, PA, USA. Shareef.jandali@uphs.upenn.edu
authors.forename: Shareef
authors.initials: S
authors.lastname: Jandali
authors.forename: Robert B
authors.initials: RB
authors.lastname: Noone
authors.forename: Philip Y
authors.initials: PY
authors.lastname: Pearson
authors.forename: R Barrett
authors.initials: RB
authors.lastname: Noone
mesh_terms: D000328:Adult; D001003:Anal Canal / Q000503:physiopathology / Q000601:surgery; D005242:Fecal Incontinence / Q000209:etiology* / Q000601:surgery*; D005243:Feces; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000503:physiopathology / Q000601:surgery*; D010502:Perineum / Q000002:abnormalities* / Q000601:surgery*; D011247:Pregnancy; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D014621:Vagina