Repository of Research and Investigative Information

Repository of Research and Investigative Information

Hormozgan University of Medical Sciences

Abdominal wall closure in bladder exstrophy complex repair by rectus flap

(2011) Abdominal wall closure in bladder exstrophy complex repair by rectus flap. Annals of African Medicine.

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Abstract

Background and Objectives: The Exstrophy Complex (EC) is a serious malformation of midline abdominal wall. Wide pubis prevents approximating the lateralized rectus muscle and leads to dehiscence and fistula formation. Our aim was to recommend an easier method for abdominal wall closure in the Bladder Exstrophy (BE) complex repair. Materials and Methods: From November 2007 to April 2010, we had three case of Cloacal Exstrophy (CE) and 10 BE, in which early bladder closure and coverage were performed by wide mobilization of bladder and rectus muscle flap closure in the midline without pubic closure. Results: Two cases of CE had only minor wound dehiscence and bladder prolapsed later. One of the 10 BE cases developed vesicocutaneous fistula and the other two had minor wound dehiscence. Conclusions: Our Technique reconstructed the abdominal wall with less morbidity and hospitalization because of tensionless closure.

Item Type: Article
Additional Information: cited By 5
Keywords: abdominal wall closure; adolescent; adult; article; bladder exstrophy; child; clinical article; cloacal exstrophy; cystocele; female; human; infant; male; muscle flap; newborn; preschool child; rectus femoris muscle; school child; surgical technique; wound closure, Abdominal Wall; Adolescent; Adult; Bladder Exstrophy; Child; Child, Preschool; Epispadias; Female; Follow-Up Studies; Humans; Infant; Infant, Newborn; Length of Stay; Male; Reconstructive Surgical Procedures; Surgical Flaps; Surgical Wound Dehiscence; Treatment Outcome; Urologic Surgical Procedures; Young Adult
Subjects: WI Digestive System > WI 900-970 Abdominal Cavity
WJ Urogenital System > WJ 400-600 Ureter. Bladder. Urethra
Depositing User: مهندس هدی فهیم پور
URI: http://eprints.hums.ac.ir/id/eprint/5381

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