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Postoperative complications after reconstructive surgery for cloacal malformations: a systematic review
- Source :
- Techniques in Coloproctology, 19(4), 201-207. Springer-Verlag Italia, Techniques in Coloproctology, 19, 201-7, Techniques in Coloproctology, 19, 4, pp. 201-7, Techniques in Coloproctology
- Publisher :
- Springer Nature
-
Abstract
- Contains fulltext : 153675.pdf (Publisher’s version ) (Open Access) The repair of cloacal malformations is most often performed using a posterior sagittal anorecto-vagino-urethroplasty (PSARVUP) or total urogenital mobilization (TUM) with or without laparotomy. The aim of this study was to systematically review the frequency and type of postoperative complication seen after cloacal repair as reported in the literature. A systematic literature search was conducted according to preferred reporting items for systematic reviews and meta-analyses guidelines (PRISMA). Eight records were eligible for this study which were qualitatively analyzed according to the Rangel score. Overall complication rates reported in included studies ranged from 0 to 57 %. After meta-analysis of data, postoperative complications were seen in 99 of 327 patients (30 %). The most common reported complications were recurrent or persistent fistula (n = 29, 10 %) and rectal prolapse (n = 27, 10 %). In the PSARVUP group, the complication rate was 40 % and in the TUM group 30 % (p = 0.205). This systematic review shows that postoperative complications after cloacal repair are seen in 30 % of the patients. The complication rates after PSARVUP and TUM were not significantly different. Standardization in reporting of surgical complications would inform further development of surgical approaches. Other techniques aiming to lower postoperative complication rates may also deserve consideration.
- Subjects :
- Reconstructive surgery
medicine.medical_specialty
medicine.medical_treatment
Anal Canal
Review
Urogenital Surgical Procedure
Postoperative Complications
Cloaca
Urethra
Laparotomy
medicine
Humans
business.industry
Rectum
Gastroenterology
Postoperative complication
Plastic Surgery Procedures
medicine.disease
Colorectal surgery
Urogenital Surgical Procedures
Surgery
Rectal prolapse
Treatment Outcome
Reconstructive and regenerative medicine Radboud Institute for Molecular Life Sciences [Radboudumc 10]
Vagina
Systematic review
Female
Cloacal malformation
business
Complication
Abdominal surgery
Subjects
Details
- Language :
- English
- ISSN :
- 11236337
- Volume :
- 19
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Techniques in Coloproctology
- Accession number :
- edsair.doi.dedup.....00e41285818a2bb933f6d03f8adc2ab9
- Full Text :
- https://doi.org/10.1007/s10151-015-1265-x