{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T04:32:01Z","timestamp":1771561921520,"version":"3.50.1"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003For the classification of the complexity of cloacal malformations and the decision on the operative approach, an exact anatomical assessment is mandatory. To benefit from using three-dimensional (3D)-printed models in preoperative planning and training, the practicability of these models should be guaranteed. The aim of this study was to evaluate the quality and feasibility of a real-size 3D-printed cloaca model for the purpose of cysto-vaginoscopic evaluation.<\/jats:p><jats:p>\n          Materials and Methods\u2003We performed a 3D reconstruction and printed a real-size, rubber-like 3D model of an infant pelvis with a cloacal malformation and asked invited pediatric surgeons and pediatric urologists to perform a cysto-vaginoscopy on the model and to complete a brief questionnaire to rate the quality and feasibility of the model and to indicate whether they would recommend the model for preoperative planning and training.<\/jats:p><jats:p>\n          Results\u2003Overall, 41 participants rated the model quality as good to very good (M\u2009=\u20093.28, standard deviation [SD]\u2009=\u20090.50, on a scale from 1 to 4). The model was rated as feasible for preoperative training (M\u2009=\u20094.10, SD\u2009=\u20090.75, on a scale from 1 to 5) and most participants (85.4%) would recommend the model for preoperative training. The cysto-vaginoscopy of the model was considered as a valid training tool for real-life cases and improved the confidence on the anatomy of a cloaca.<\/jats:p><jats:p>\n          Conclusion\u2003The results of our study indicate that patient-specific 3D-printed models might be a useful tool in the preoperative evaluation of complex anorectal malformations by simulation of cysto-vaginoscopy with an excellent view on anatomical structures to assess the whole spectrum of the individual cloacal malformation. Our model might be a valuable add-on tool for specialty training in pediatric colorectal surgery.<\/jats:p>","DOI":"10.1055\/s-0041-1726424","type":"journal-article","created":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T23:57:55Z","timestamp":1616543875000},"page":"210-214","source":"Crossref","is-referenced-by-count":7,"title":["Cysto-Vaginoscopy of a 3D-Printed Cloaca Model: A Step toward Personalized Noninvasive Preoperative Assessment in Patients with Complex Anorectal Malformations"],"prefix":"10.1055","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6614-9703","authenticated-orcid":false,"given":"Wilfried","family":"Krois","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Medical University of Vienna, Vienna, Wien, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"Schm\u00f6lz","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Medical University of Vienna, Vienna, Wien, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Wagner","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Medical University of Vienna, Wien, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Gr\u00f6pel","sequence":"additional","affiliation":[{"name":"Department of Sport Science, University of Vienna, Wien, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewald","family":"Unger","sequence":"additional","affiliation":[{"name":"Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Wien, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelika","family":"Berger","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Medical University of Vienna, Wien, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Metzelder","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Medical University of Vienna, Vienna, Wien, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Albert","family":"Reck","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Medical University of Vienna, Vienna, Wien, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,3,23]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"crossref","first-page":"1072","DOI":"10.1136\/adc.2009.175034","article-title":"Understanding cloacal anomalies","volume":"96","author":"S A Warne","year":"2011","journal-title":"Arch Dis Child"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1097\/00000658-199809000-00006","article-title":"Cloaca, the most severe degree of imperforate anus: experience with 195 cases","volume":"228","author":"W H Hendren","year":"1998","journal-title":"Ann Surg"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1053\/j.sempedsurg.2009.11.012","article-title":"Cloacal malformations: lessons learned from 490 cases","volume":"19","author":"M A Levitt","year":"2010","journal-title":"Semin Pediatr Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.ijsu.2020.06.017","article-title":"Surgical planning with patient-specific three-dimensional printed pancreaticobiliary disease models - Cross-sectional study","volume":"80","author":"A H Bati","year":"2020","journal-title":"Int J Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"157","DOI":"10.2217\/3dp-2019-0023","article-title":"3D printing for the planning and use in complicated surgical procedures: an interview with Juling Ong","volume":"3","author":"J Ong","year":"2019","journal-title":"J Print Med"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"395.e1","DOI":"10.1016\/j.jpurol.2017.05.019","article-title":"Use of 3D reconstruction cloacagrams and 3D printing in cloacal malformations","volume":"13","author":"J J Ahn","year":"2017","journal-title":"J Pediatr Urol"},{"issue":"08","key":"ref7","doi-asserted-by":"crossref","first-page":"1590","DOI":"10.1016\/j.jpedsurg.2019.03.016","article-title":"The use of rotational fluoroscopy and 3-D reconstruction in the diagnosis and surgical planning for complex cloacal malformations","volume":"54","author":"C A Reck-Burneo","year":"2019","journal-title":"J Pediatr Surg"},{"issue":"08","key":"ref8","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1007\/s00383-012-3122-6","article-title":"Combined 3D rotational fluoroscopic-MRI cloacagram procedure defines luminal and extraluminal pelvic anatomy prior to surgical reconstruction of cloacal and other complex pelvic malformations","volume":"28","author":"M D Jarboe","year":"2012","journal-title":"Pediatr Surg Int"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/j.jpedsurg.2019.10.045","article-title":"Measure twice and cut once: comparing endoscopy and 3D cloacagram for the common channel and urethral measurements in patients with cloacal malformations","volume":"55","author":"D R Halleran","year":"2020","journal-title":"J Pediatr Surg"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1097\/SIH.0000000000000296","article-title":"Status quo in pediatric and neonatal simulation in four central european regions: The DACHS Survey","volume":"13","author":"M Wagner","year":"2018","journal-title":"Simul Healthc"},{"issue":"11","key":"ref11","doi-asserted-by":"crossref","first-page":"e611","DOI":"10.1097\/PCC.0000000000001721","article-title":"Implementation and evaluation of training for ultrasound-guided vascular access to small vessels using a low-cost cadaver model","volume":"19","author":"M Wagner","year":"2018","journal-title":"Pediatr Crit Care Med"},{"issue":"02","key":"ref13","first-page":"e7081","article-title":"Orientation planning in the fused deposition modeling 3D printing of anatomical spine models","volume":"12","author":"A Damon","year":"2020","journal-title":"Cureus"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/SIH.0000000000000476","article-title":"Establishing a cost-effective 3-dimensional printing laboratory for anatomical modeling and simulation: an institutional experience","author":"W Clifton","year":"2020","journal-title":"Simul Healthc"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.wneu.2020.04.184","article-title":"Cost-effective method for 3-dimensional printing dynamic multiobject and patient-specific brain tumor models: technical note","volume":"140","author":"A Damon","year":"2020","journal-title":"World Neurosurg"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"135","DOI":"10.2217\/3dp-2019-0011","article-title":"3D-printed pediatric temporal bone models for surgical training: a patient-specific and low-cost alternative","volume":"3","author":"J C Ospina","year":"2019","journal-title":"J Print Med"},{"issue":"08","key":"ref17","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1001\/jamasurg.2016.0261","article-title":"Understanding the operative experience of the practicing pediatric surgeon: implications for training and maintaining competency","volume":"151","author":"F Abdullah","year":"2016","journal-title":"JAMA Surg"}],"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1726424.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,19]],"date-time":"2022-04-19T23:53:27Z","timestamp":1650412407000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1726424"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,23]]},"references-count":16,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2022,4,19]]},"published-print":{"date-parts":[[2022,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1726424","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"value":"0939-7248","type":"print"},{"value":"1439-359X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,23]]}}}