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Bladder extrophy osteotomy

V L Dronova
Complex of extrophy--epispadias--a rare inborn malformation of genitourinary system, abdominal wall muscles and pelvic bones. The observation was adduced, concerning an urinary bladder extrophy in a girl in combination with vaginal agenesia after noneffective primarily--postponed closure of urinary bladder, osteotomy (in the age of 4 yrs old), with consequent ureterosygmostomy. In the patient there was conducted a reconstructive operation for vagina creation, using nonfunctioning bladder, right-sided nephrectomy for severe ureterohydronephrosis, reconstruction of anterior abdominal wall and external genitalia...
May 2015: Klinichna Khirurhiia
Seyed Mohammad Vahid Hosseini, Mohammad Zarenezhad, Sakineh Falahi, Ali Amir Ahmadi, Babak Sabet, Ahmad Reza Rasekhi
BACKGROUND: Role of pelvic osteotomy in surgical management of bladder exstrophy is controversial But pelvic rim closure importantly. Bulking agents have been used for perineal and pelvic dysfunction in adults. In this study, bladder extrophy repair was performed without pubic closure And bulking agent injections were used as the strut of anterior pelvis for prevention of Organ prolapse and other functions in this series. PATIENTS AND METHODS: During the period 2008-2012, twenty-five exstrophy-epispadias complex patients with a mean age of 14 months underwent surgical reconstruction...
January 2013: African Journal of Paediatric Surgery: AJPS
A T Tadzhibaev, Zh K Beknazarov
A new less traumatic method of pubic bone approximation in extrophy of the urinary bladder in children is proposed. To ascertain efficacy of the method, results of 3-stage reconstructive plastic operations with pubic bone approximation without osteotomy (group 1, n=27), one-stage reconstructive plastic operations with transversal suturing of the anterior abdominal wall (group 2, n=19), and one-stage reconstructive plastic operations according to the new techniques of pubic bone approximation (group 3, n=9) were compared...
March 2011: Urologii︠a︡
Ryszard Tomaszewski, Karol Pethe, Tomasz Koszutski
BACKGROUND: Bladder extrophy malformation includes outward rotation of the innominate bones, pubic symphysis diastasis and acetabular retrovertion. We have corrected the pelvic deformation during the reconstruction of the bladder neck and the urethra in older children. METHODS: From 1/01/2002 to 1/01/2006 in the Department of Pediatric Urology and the Department of Pediatric Orthopedics in Katowice 4 children were operated on for bladder extrophy. The age of the patients ranged from 2...
March 2010: Chirurgia Narzadów Ruchu i Ortopedia Polska
R Rub, R Madeb, S Morgenstern, J Ben-Chaim, Y Avidor
Bladder exstrophy is a rare congenital condition that occurs in 1 to 30,000 live births. Primary bladder closure is usually performed in the first days of life in conjunction with an iliac osteotomy in order to achieve a more secure bladder closure. We report a case of a large bladder stone with secondary right-sided hydronephrosis in a 3-year-old child who underwent exstrophy repair at the age of 7 months. During the exstrophy repair a no. 1 braided, polyester, non-absorbable suture was used to close the pubic bones and served as a nidus for intravesical stone formation...
August 2001: World Journal of Urology
H Horoszowski, A Israeli, M Heim, P Jonash, I Farine
Extreme diastasis of the pubis and malalignment of both ilium and hip joints are always associated with the absence of infraumbilical structures and with the failure of the anterior bladder wall to close. Therefore, for a successful cure of extrophy, the pelvic ring has to be repaired, at the time of or a few days prior to the surgical cure of the bladder. The repair of the pelvis, when executed in poor aseptic conditions, results in difficult nursing problems, and fails due to the lack of convenient fixation...
May 1982: Clinical Orthopaedics and related Research
I Oesch, R Jeffs
Two surgical alternatives exist in the treatment of classic bladder exstrophy: urinary diversion and functional closure. The staged ureterosigmoidostomy is the treatment of choice for patients not suitable for bladder and urethral reconstruction. The treatment of the patients selected for closure begins by closing the bladder during the neonatal period. Osteotomy appears to be necessary in children older than 2 days. Incontinence and vesico-ureteral reflux are treated by bladder neck-urethral reconstruction and reimplantation of the ureters at three years of age...
May 1981: Surgery in Infancy and Childhood
B O'Donnell
A personal series of 42 consecutive unselected bladder extrophies over a 20-year period is critically analyzed. The incidence is calculated as 1 in 25,000 live births. Four died unoperated of multiple anomalies and two died following surgery. Of the remaining 36, cosmetic closure was possible in 34. Most closures were done at about 1 year, though 1 month of age is now preferred. Iliac osteotomy has been abandoned. Further staged surgery using Young-Dees bladderneck reconstruction and ureteric reimplant high in the bladder has been used in 11 selected cases...
October 1984: Journal of Pediatric Surgery
I H Gökçora, T Yazar
In a clinical and radiological study of seven neonates with bladder extrophy (BX), separation of pubic bones from the midline, lateral and caudal tilting of the iliac alae and external rotation of the acetabula, with consequent early predisposition to bilateral congenital hip dislocation (CHD), who were treated by a combined bilateral innominate osteotomy and reconstruction of the urinary bladder, there were only two failures due to CHD and three due to BX, which were dealt with at a later session. Although the bilateral transverse iliac osteotomy procedure is very rarely, if ever, employed in the neonatal period, it may well be combined with the reconstructive surgical procedures that involve pelvic skeletal structures while dealing with soft tissue procedures...
April 1989: International Surgery
V Patella
Bilateral posterior iliac osteotomy as a preliminary stage in the surgical treatment of congenital extrophy of the bladder allows easier approximation of the soft tissues in front of the urethra and facilitates closure of the rectal muscles and fasciae, reducing or abolishing the need for using fascial strips and carrying out plastic procedures to close the skin.
December 1976: Italian Journal of Orthopaedics and Traumatology
C A Montagnani
No abstract text is available yet for this article.
1977: Progress in Pediatric Surgery
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