Case Overview:
- Neonate treated in 1975--early in experience with cloacal reconstruction
- Sigmoid colostomy was done, but transverse colostomy now preferred
- Demonstrated repair in lithotomy position to be possible, although today a posterior sagittal approach might be used
- Hendren's first cloacal repair in 1962 had the vagina exteriorized with a perineal flap, and the rectum was repaired by a posterior sagittal approach and pullthrough
Follow Up:
- At age 36 years, bowel and urine control were normal
- Posterior approach in prone position would be the preferred approach today
THP Source: