A less invasive technique for delayed bladder exstrophy closure without fascia closure and immobilisation: can the need for prolonged anaesthesia be avoided?

Pediatric Surgery International
Vasily V Nikolaev

Abstract

It is believed that the main factors enhancing security of the bladder exstrophy closure are use of osteotomy, pubic bones approximation or transferred flaps for rectus fascia closure. However, these methods increase operating time, surgical trauma and carry risks for the patient. To demonstrate that the goal of secure bladder exstrophy closure can be achieved easier technically and safer for the child than previously thought. The paper examines the hypothesis that less invasive bladder exstrophy closure achieved without fascia closure can reduce pain and avoid the need for immobilization and prolonged analgesia. Patients aged 34 days to 15 years (n = 36) from 37 who consecutively referred to the institution with classical bladder exstrophy between 2004 and 2016 underwent modified delayed primary (25) or redo (11) closure. One boy with low weight was excluded. Patient and treatment features were analysed to determine needs for immobilisation and anaesthesia in the postoperative period, and outcomes. Bladder exstrophy closure with proximal urethroplasty was performed with the detachment of crura from the ishiopubic rami and levators-from obturator internus muscle. Abdominal wall closure was accomplished with skin and subcutaneou...Continue Reading

References

Oct 1, 1971·Journal of Pediatric Surgery·J H Kelley, A J Eraklis
Feb 24, 2001·The Journal of Bone and Joint Surgery. American Volume·P D SponsellerJ P Gearhart
Jan 27, 2005·Journal of Paediatrics and Child Health·D ChiangP A Dewan
Jul 18, 2008·Journal of Pediatric Urology·J Todd Purves, John P Gearhart
Nov 13, 2009·Journal of Pediatric Urology·Thomas E NovakJohn P Gearhart
Sep 3, 2011·The Journal of the American Academy of Orthopaedic Surgeons·Neil C ViningRichard W Grady
Oct 24, 2012·The Journal of Urology·Nima BaradaranJohn P Gearhart
May 21, 2013·Current Urology Reports·Brian M InouyeJohn P Gearhart
Jul 23, 2013·The Journal of Urology·I MushtaqP Cuckow
Oct 22, 2013·The Journal of Urology·Joseph G Borer
Dec 5, 2013·The Journal of Urology·Anthony J SchaefferCaleb P Nelson
Dec 18, 2013·Journal of Pediatric Urology·Francesco FerraraRaimondo M Cervellione
Mar 1, 2014·Central European Journal of Urology·Małgorzata Baka-OstrowskaZbigniew Wawer
Oct 11, 2016·The Journal of Urology·Pokket SirisreetreeruxJohn P Gearhart
Feb 25, 2017·Current Urology Reports·Elizabeth RothTravis Groth

❮ Previous
Next ❯

Citations

Aug 21, 2020·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Marie UeckerJens Dingemann

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved