{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:36:45Z","timestamp":1787841405041,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>\n                      Reconstruction of a cloacal defect in a girl is often difficult and complicated.\n                      <jats:sup>[1]<\/jats:sup>\n                      This is most often done either by the sacro-perineal route or through the posterior sagittal route.\n                      <jats:sup>[2]<\/jats:sup>\n                      The procedures may involve total mobilization of the cloaca with or without the creation of a lower vagina with the help of a loop of vascularized bowel.\n                      <jats:sup>[3]<\/jats:sup>\n                      In our approach, such defects can be corrected using the lower anorectum for the creation of a lower vagina and abdominoperineal pull-through of the proximal divided bowel. This method can be used both in short and long common channel cloaca.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We have used this procedure in one patient of posterior cloaca and four patients of anterior cloaca. These operations were done in patients of 1 year and 6 months to 4 years. Only one patient is waiting for the closure of the colostomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In all the cases, the urethra, the vagina, and the anus were successfully separated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This operation restores normal pelvic anatomy and physiology with minimal mutilation of the pelvic floor.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_239_23","type":"journal-article","created":{"date-parts":[[2024,7,6]],"date-time":"2024-07-06T15:00:26Z","timestamp":1720278026000},"page":"334-339","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Reconstruction of Cloacal Defect: Switch Operation \u2013 A New Approach"],"prefix":"10.4103","volume":"29","author":[{"given":"Ashoke Kumar","family":"Basu","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Institute of Child Health, Kolkata, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalyani Saha","family":"Basu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Nil Ratan Sarkar Medical College and Hospital, Kolkata, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuntal","family":"Bhaumik","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Institute of Child Health, Kolkata, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyotsna","family":"Basu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Institute of Child Health, Kolkata, 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