지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.6
- 수록면
- 431 - 436 (6page)
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초록· 키워드
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Purpose: Persistent cloaca is one of the most severe types of anorectal malformation. Appropriate initial drainage is difficult due to their various malformations and hydrocolpos or dilated urinary bladder. Corrective surgery also differs among individual patients. We describe our experiences with the surgical management of children with persistent cloaca. Methods: We retrospectively reviewed 16 children diagnosed with persistent cloaca at Asan Medical Center. Results: Sixteen patients were managed in their neonatal period. Twelve patients had enlarged bladder or vagina at birth. Three patients, who did not undergo cystostomy or vaginostomy at first operation, had earlier complications after surgery or required drainage tube insertion. One patient who did not undergo hydrocolpos drainage died of sepsis and complications. Nine patients underwent corrective surgery; posterior sagittal anorectovaginourethroplasty using the Pena method. Three patients required additional operations due to complications after surgery. Conclusion: Patients found to have anatomical malformations before colostomy, as well as hydrocolpos and bladder enlargement, require a vaginostomy with or without a cystostomy to reduce complications. Follow-up is required in patients with hydrocolpos and bladder enlargement to determine whether vaginal drainage improves dilated bladder. Continuous long-term follow-up examination is required to determine the long-term results of corrective surgery.
목차
Purpose
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (17)
참고문헌 신청
1. [학술지(정기간행물)] - Zderic SA / 2002 / The CHOP experience with cloacal exstrophy and gender reassignment / Adv Exp Med Biol 511 : 135 ~ 144
2. [학술지(정기간행물)] - Escobar LF / 1987 / Urorectal septum malformation sequence. Report of six cases and embryological analysis / Am J Dis Child 141 : 1021 ~ 1024
3. [학술지(정기간행물)] - Peña A / 1993 / Management of anorectal malformations during the newborn period / World J Surg 17 : 385 ~ 392
4. [학술지(정기간행물)] - Peña A / 2003 / Surgical management of cloacal malformations / Semin Neonatol 8 : 249 ~ 257
5. [학술지(정기간행물)] - Shaul DB / 1997 / Classification of anorectal malformations--initial approach, diagnostic tests, and colostomy / Semin Pediatr Surg 6 : 187 ~ 195
2. [학술지(정기간행물)] - Escobar LF / 1987 / Urorectal septum malformation sequence. Report of six cases and embryological analysis / Am J Dis Child 141 : 1021 ~ 1024
3. [학술지(정기간행물)] - Peña A / 1993 / Management of anorectal malformations during the newborn period / World J Surg 17 : 385 ~ 392
4. [학술지(정기간행물)] - Peña A / 2003 / Surgical management of cloacal malformations / Semin Neonatol 8 : 249 ~ 257
5. [학술지(정기간행물)] - Shaul DB / 1997 / Classification of anorectal malformations--initial approach, diagnostic tests, and colostomy / Semin Pediatr Surg 6 : 187 ~ 195
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UCI(KEPA) : I410-ECN-0101-2013-514-002684100