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  • Title
  • 1. Introduction
  • 2. Anatomy
  • 3. Exposure
  • 4. Therapeutic Interventions
  • 5. Component Closure of Abdominal Defect
  • 6. Leg Casting for Pelvic Osteotomies

Cloacal Exstrophy Repair

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William Remley1; Howard Jen, MD2; Jeremy Wiygul, MD2; Carl-Christian A. Jackson, MD2
1Lake Erie College of Osteopathic Medicine
2Tufts Medical Center

General SurgeryOrthopaedicsUrologyMultidisciplinary Surgery

Procedure Outline

Table of Contents

  1. 0. Preparation
    1. 1. Introduction
      1. 2. Anatomy
        1. 3. Exposure
          1. 4. Therapeutic Interventions
            1. 5. Component Closure of Abdominal Defect
              1. 6. Leg Casting for Pelvic Osteotomies
                • Anesthesia (not shown): GA in OR with peripheral and central lines.
                1. Draping and Planning
                2. Mobilize Omphalocele and Ligate Umbilical Vessels
                3. Establish Plane between Cecal Plate and Rectus Sheath
                4. Identification of Bladder and Testicles
                5. Identification of Hindgut and Future Stoma
                1. Closure of Cecal Plate
                2. Reduce Bowel
                3. Dissection to Identify Corpora
                4. Division of Urogenital Diaphragm
                5. Placement of Ureteral Catheters
                6. Creation of Neo-urethra and Reassessment
                7. Mobilization of Corporal Bodies
                8. Place and Suture Malecot Suprapubic Catheter
                9. Placement of Suprapubic Tube
                10. Closure of Bladder
                11. Placement of Pubic Symphyseal Stitch

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                Tufts Medical Center

                Article Information

                Publication Date
                Article ID102b
                Production ID0102.2
                Volume2024
                Issue102b
                DOI
                https://doi.org/10.24296/jomi/102b