Cloacal Exstrophy Repair
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Procedure Outline
Table of Contents
- Anesthesia (not shown): GA in OR with peripheral and central lines.
- Draping and Planning
- Mobilize Omphalocele and Ligate Umbilical Vessels
- Establish Plane between Cecal Plate and Rectus Sheath
- Identification of Bladder and Testicles
- Identification of Hindgut and Future Stoma
- Closure of Cecal Plate
- Reduce Bowel
- Dissection to Identify Corpora
- Division of Urogenital Diaphragm
- Placement of Ureteral Catheters
- Creation of Neo-urethra and Reassessment
- Mobilization of Corporal Bodies
- Place and Suture Malecot Suprapubic Catheter
- Placement of Suprapubic Tube
- Closure of Bladder
- Placement of Pubic Symphyseal Stitch
