Early Cloacal Reconstruction Case: Evolution of Treament Strategies (Hendren Patient Case)

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
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