Document Detail


The posterior sagittal approach to repair of vaginal atresia and imperforate anus.
MedLine Citation:
PMID:  3946939     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In 1982 deVries and Peña reintroduced the posterior sagittal approach for the repair of high imperforate anus, and it is already being utilized by many pediatric surgeons worldwide. This approach, the so-called "Kraske approach," has been used in the past for access to difficult rectal lesions, and has been applied to cloacal anomalies, again by Peña and deVries. We have recently applied this technique to repair a mid-vaginal atresia in a 12-year-old girl who also had chronic constipation and fecal incontinence following neonatal imperforate anus repair. The posterior sagittal approach allowed simultaneous reconstruction of the anus and vagina and may have application to the primary repair of ano-vaginal anomalies in infancy. The case history and a discussion of the technique form the basis of this report.
Authors:
M Dimler; J Moody
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  52     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1986 Feb 
Date Detail:
Created Date:  1986-03-19     Completed Date:  1986-03-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  72-5     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple*
Anus, Imperforate / complications,  surgery*
Child
Fecal Incontinence / etiology,  surgery
Female
Humans
Menstruation Disturbances / etiology
Methods
Reoperation
Vagina / abnormalities*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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