Bilateral anterior pubic osteotomy in bladder exstrophy closure.

Détails

ID Serval
serval:BIB_A8B41D34A0AF
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Bilateral anterior pubic osteotomy in bladder exstrophy closure.
Périodique
Journal of Urology
Auteur(s)
Frey P.
ISSN
0022-5347
Statut éditorial
Publié
Date de publication
1996
Peer-reviewed
Oui
Volume
156
Numéro
2 Pt 2
Pages
812-815
Langue
anglais
Notes
Publication types: Clinical Trial ; Journal Article
Résumé
PURPOSE: We report our clinical experience with anterior pelvic osteotomy in 16 patients who underwent surgery for bladder exstrophy. The technique and its difficulties are discussed. MATERIALS AND METHODS: Anterior pelvic osteotomy of the superior ramus of the public bone is a simple and efficient method to facilitate symphyseal approximation and abdominal wall closure without or with low tension on the suture lines in neonates who undergo surgery for bladder exstrophy. Older children in whom surgery has been delayed can also benefit from this method. Compared to other methods of osteotomy in exstrophy surgery it does not require additional incisions, nor does the patient need to be repositioned on the operating table. A successful operation does not depend on any particular orthopedic skills and it can easily be done by the pediatric urologist. RESULTS: Immediate postoperative results regarding abdominal wall closure were excellent in all 16 patients. However, major postoperative complications developed in 2 patients. Despite antibiotic prophylaxis a severe soft tissue infection developed in 1 child, resulting in complete bladder dehiscence. In another patient an obturator nerve injury resulted in transient palsy, which resolved completely. While the first complication was not related to osteotomy, the second was osteotomy related. CONCLUSIONS: Bilateral superior ramotomy of the pubic bones is a new alternative, easily performed technique to optimize bladder exstrophy surgery in children.
Mots-clé
Bladder Exstrophy, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, Osteotomy
Pubmed
Web of science
Création de la notice
28/02/2008 11:25
Dernière modification de la notice
20/08/2019 16:13
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