To describe surgical approaches for different cases of cloaca, emphasizing the importance of anatomical diversity and severity.
Key Findings:
20 patients with varied anatomical presentations were included.
Surgical management was tailored based on vaginal depth and common channel length.
Single-stage and staged surgical techniques were applied based on the severity of the malformations, with outcomes varying accordingly.
Interpretation:
Individualized surgical management is crucial for effective treatment of cloacal malformations due to their anatomical complexity, highlighting the need for further research in this area.
Limitations:
Small sample size of 20 patients.
Retrospective nature may limit data accuracy and introduce biases.
Conclusion:
Surgical management of cloacal malformations requires individualized approaches based on anatomical factors.
Patients with preoperative vitamin D deficiency had higher postoperative pain scores and opioid use after mastectomy, including more than triple the odds of moderate to severe pain within 24 hours of surgery.
