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Fig. 6 | Annals of Pediatric Surgery

Fig. 6

From: Persistent cloaca: persistence of the challenge

Fig. 6

Type 3 (high urogenital confluence) cloaca. The patient was initially managed in the neonatal period by a colostomy and a vaginostomy (black arrow points to site of vaginostomy on the skin). Vaginal pull-through: a the vaginostomy (V) is detached from the abdominal wall (UB, urinary bladder). b The vagina is separated from the back of the bladder and reconstructed to form a tube that is ready for a pull-through procedure

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