Simultaneous repair of type IV rectovaginal fistula (cloaca) and "ectopic anus" deformity. Presentation of a case and review of the literature
Saborío, D.V.; Saborío, G.P.; Aguirre Romero, F.; Noriega Ibarra, A.
Ginecologia y Obstetricia de Mexico 66: 153-156
1998
ISSN/ISBN: 0300-9041 PMID: 9617016 Document Number: 487266
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.