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분만손상에 의한 외상성 총배설강의 경회음부 복원술

Transperineal Corrective Repair of Traumatic Cloaca by Obstetric Injury

대한대장항문학회지 1996년 12권 1호 p.45 ~ 49
윤완희 ( Yoon Wan-Hee ) - 충남대학교 의과대학 외과학교실

송인상 ( Song In-Sang ) - 충남대학교 의과대학 외과학교실

Abstract


Traumatic cloaca refers to a perineal injury in women and is characterized by disruption of the perineal body, division of the anal sphincters anteriorly, and loss of the distal rectovaginal septum, causing complete fecal incontinence. An operative technique, including perineoplasty with puborectalis interposition and overlapping external anal sphincteroplasty is described to correct the defect and restore continence. This procedure has been used on 8 patients in a 3-year period with excellent anatomic and physiologic results.

키워드

Transperineal Repair;Rectovaginal Fistula;Obstetric Injury
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