Cloacal Repair

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

  • 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