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잔존 총배설강 기형 수술 후 발생한 요도-질 누공에 대한 전방 시상 경직장적 접근 술식 (anterior sagittal transrectal approach, ASTRA) 1례보고

Other Titles
 Anterior Sagittal Transrectal Approach (ASTRA) for Urethrovaginal Fistula after Total Repair of Persistent Cloaca - 1 Case Report - 
 김성민  ;  김창우  ;  한석주  ;  오정탁  ;  김병규 
 Journal of the Korean Association of Pediatric Surgeons (소아외과), Vol.13(1) : 76-80, 2007 
Journal Title
 Journal of the Korean Association of Pediatric Surgeons (소아외과) 
Issue Date
Cloaca ; Urethrovaginal fistula ; Anterior sagittal transrectal approach (ASTRA) ; Posterior sagittal anorectourethrovaginoplasty (PSARUVP) ; Total urogenital mobilization
The authors applied anterior sagittal transrectal apporach (ASTRA) for the repair of urethrovaginal fistula which developed after total repair of persistent cloaca. The patient had been diagnosed to have persistent cloaca, double uterus and double vagina, and received PSARP, excision of right-side uterus and vagina, and left vaginal switch operation at 22 months old. After operation, the patient admitted several times due to frequent urinary tract infection and ectopic stone formation in bladder and neovagina. Urethro-neovaginal fistula was confirmed by cystoscopy and corrected with ASTRA. Postoperative voiding cystourethrogram showed no fistula tract. ASTRA showed improved surgical field, minimized ureterocystic damage, and preserved perirectal nerve due to limited incision of rectum.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Seong Min(김성민)
Oh, Jung Tak(오정탁)
Han, Seok Joo(한석주) ORCID logo https://orcid.org/0000-0001-5224-1437
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