Traumatic Cloacal Defect, the Warren Flap Revisited a Description of the Technique and Review of the Literature

• Autorzy: Harjeet Narula , Himanshu Wadhawan , Andrew Shorthouse , Steven Brown
• Języki publikacji: EN

Abstrakty

EN

Traumatic cloacal defects are rare and are characterised by complete dehiscence of the anterior sphincter complex, the perineal body and lower portion of the rectovaginal septum. Techniques of repair range from simple tissue apposition to complex flap reconstruction. We report a series of patients treated by a ‘Warren flap’.Methods. A review of four patients undergoing Warren flap repair for traumatic cloacal defect.Results. The Warren flap was performed with minimal complications. Patients were discharged within 2 days. Minor wound infections occurred in all four cases. At median follow up of 7.5 months (range 3-10 months) all patients had significantly improved continence (Vaisey score median 16 pre-op to 3 post-op) and sexual function.Conclusions. The Warren flap procedure utilises techniques and planes that are familiar to the colorectal surgeon, and is associated with rapid and safe recovery and good early postoperative function. It is a useful reconstructive technique for this complex injury.

Słowa kluczowe

EN

traumatic cloacal defect; perineal trauma; anterior sphincter repair

• Wydawca: Index Copernicus International
• Czasopismo: Polish Journal of Surgery
• Rocznik: 2010
• Tom: 82
• Numer: 12
• Strony: 687-693

Daty

wydano

2010-12-01

online

2011-02-23

Twórcy

autor

Harjeet Narula

• Dewsbury and District Hospital, Dewsbury, United Kingdom

autor

Himanshu Wadhawan

• Northern General Hospital, Sheffield, United Kingdom

autor

Andrew Shorthouse

• Northern General Hospital and Faculty of Health and Wellbeing, Sheffield Hallam University, United Kingdom

autor

Steven Brown

• Northern General Hospital, Sheffield, United Kingdom

Bibliografia

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Identyfikatory

DOI

10.2478/v10035-010-0106-x