Repair of a traumatic cloaca after obstetric anal sphincter injury
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Introduction and hypothesis
Unsuccessful primary repair of fourth-degree obstetric trauma can lead to permanent communication between the rectum and the vagina, which, in association with full-thickness anal sphincter defects, is characterized by complete fecal incontinence and severe impairment of quality of life. The aim of this video is to serve as a tutorial for repair.
A 27-year-old woman who developed a full-thickness recto-vaginal defect extended from the perineum to the upper third of the vagina has been managed through layered surgical repair without flaps.
Anatomy and fecal continence have been completely restored by a follow-up of 24 months.
The procedure described in this video has been shown to be effective and safe.
KeywordsObstetric anal sphincter injury Traumatic cloaca Surgical repair
Compliance with ethical standards
Consent was obtained from the patient for publication of this video article and any accompanying images.
Conflict of interest
(MP4 93670 kb)
- 1.RCOG (2007) Green-top guideline no. 29Google Scholar