Traumatic Cloacal Defect, the Warren Flap Revisited a Description of the Technique and Review of the Literature

• Authors: Harjeet Narula , Himanshu Wadhawan , Andrew Shorthouse , Steven Brown
• Languages of publication: EN

Abstracts

EN

Traumatic cloacal defects are rare and are characterised by complete dehiscence of the anterior sphincter complex, the perineal body and lower portion of the rectovaginal septum. Techniques of repair range from simple tissue apposition to complex flap reconstruction. We report a series of patients treated by a ‘Warren flap’.Methods. A review of four patients undergoing Warren flap repair for traumatic cloacal defect.Results. The Warren flap was performed with minimal complications. Patients were discharged within 2 days. Minor wound infections occurred in all four cases. At median follow up of 7.5 months (range 3-10 months) all patients had significantly improved continence (Vaisey score median 16 pre-op to 3 post-op) and sexual function.Conclusions. The Warren flap procedure utilises techniques and planes that are familiar to the colorectal surgeon, and is associated with rapid and safe recovery and good early postoperative function. It is a useful reconstructive technique for this complex injury.

Keywords

EN

traumatic cloacal defect; perineal trauma; anterior sphincter repair

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2010
• Volume: 82
• Issue: 12
• Pages: 687-693

Dates

published

1 - 12 - 2010

online

23 - 2 - 2011

Contributors

author

Harjeet Narula

• Dewsbury and District Hospital, Dewsbury, United Kingdom

author

Himanshu Wadhawan

• Northern General Hospital, Sheffield, United Kingdom

author

Andrew Shorthouse

• Northern General Hospital and Faculty of Health and Wellbeing, Sheffield Hallam University, United Kingdom

author

Steven Brown

• Northern General Hospital, Sheffield, United Kingdom

References

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Identifiers

DOI

10.2478/v10035-010-0106-x