PFD Week 2016-Complex Cloaca Repair

Video Transcription

Video Summary

This video summarizes the case of TJ, a 59-year-old woman with a medical history of Crohn's disease, Crest syndrome, fecal incontinence, and a rectovaginal fistula. After undergoing surgical repairs, TJ experienced wound breakdown and inflammation, leading to the formation of a cloaca. She then underwent a diverting colostomy. The use of the Martius flap, a surgical technique with dual blood supply, aided in wound healing and prevention of fistula recurrence. The video explains the procedure for repairing the cloaca or rectovaginal fistula, highlighting the importance of meticulous wound care. The patient's postoperative outcome was positive, with optimal surgical results seen two months later. The video is presented by Westridge OBGYN urogynecology and features the case of TJ for educational purposes.

Asset Subtitle

Marc Eigg, MD, FACOG

Meta Tag

Category Surgery - Novel Procedures

Category Surgery - Congenital Anomalies

Category Fecal Incontinence

Concept Rectovaginal Fistula

Concept Cloaca Formation

Concept Martius Labial Interposition Flap

Concept Crohn Disease

Concept CREST Syndrome

Keywords

rectovaginal fistula

cloaca

Martius flap

wound care

surgical results

Surgery - Novel Procedures

Surgery - Congenital Anomalies

Fecal Incontinence

Rectovaginal Fistula

Cloaca Formation

Martius Labial Interposition Flap

Crohn Disease

CREST Syndrome