Virtual Conference
Pediatrics 2022

Shyamendra Pratap Sharma

Mayo institute of Medical Sciences, India

Title: Total urogenital mobilization in common cloaca: Our experience 6 cases

Abstract

Aim: To present our experience in surgical management of short common channel common cloaca patients. 
Methods: This retrospective study included 6 children were diagnosed and treated short common channel (< 3cm) common cloaca from January 2017 to January 2020 in paediatric surgery department of IMS BHU. Patient’s Data of 3 years was retrieved from case sheets and analysed. Ultrasonography and MRI pelvis were used for imaging purpose. Pan-endoscopy was done in all patients. Patient with long common channel (> 5cm) and lost to follow up were excluded. 
Results: Six patients were included in the study. Age ranged from 6 months to seven years. Bowel diversion was done as transverse colostomy in four patients, high sigmoid colostomy in two patients had tube vaginostomy had been done in two patients due to hydrocolpos in neonatal period. Imaging revealed associated anomalies as sacral anomalies in two, genital anomalies in one, ectopic kidney one patient. The Length of common channel was less than 3 cm in all patients (1.5 to 3 cm) confirmed during pan-endoscopy. Total urogenital mobilization (TUM) with posterior sagittal ano-recto-urethro-vaginoplasty (PSARUVP) was done in all cases. Post -Operative complications were found in 2 patients as wound dehiscence, catheter dislodgement. Follow up done from 1 year to 3 years. Conclusion: The short common channel common cloaca patients can be fairly manged via total urogenital mobilization (TUM) with posterior sagittal ano-recto-urethro-vaginoplasty (PSARUVP). Continuous long-term follow-up is required to determine the long-term results of corrective surgery.

Biography

Shyamendra has completed his Master of surgery From King Georges Medical University, India. He has immense interest in Pediatrics surgery so he joined prestigious Banaras Hindu University, India and completed his Master of Chirurgiae (Pediatric surgery) in October 2020. After he has joined as Post-Doctoral Fellow (Pediatric Surgical Gastroenterology) in Sanjay Gandhi Post Graduate Institute of Medical Sciences, India. He is presently working Assistant Professor at Mayo institute of Medical Sciences affiliated to Atal Bihari Bajpai Medical University, India. He has over 15 publications in International and National journals. He has been serving as review board member of several reputed journals.