PMID: 6113816Jun 1, 1981Paper

Surgical correction and rehabilitation for children with "Prune-belly" syndrome

Annals of Surgery
J G RandolphG Eng

Abstract

Until the recent past, patients born with congenital absence of the abdominal musculature, and associated deformity of the urinary collecting system, have often had an unhappy life and an early death. Twelve years ago, a treatment protocol was devised in our institution which included the following major steps: 1) bilateral tubeless pyelostomy immediately after birth; 2) serial evaluation of renal status during the first year of life; 3) laparotomy at one year of age with orchiopexy, reconstruction of the urinary collecting system and reconstruction of the abdominal wall; 4) serial electromyographic evaluation of the growth and development of the lateral abdominal musculature; 5) serial studies of renal function; 6) secondary revision of the abdominal wall and of the urinary drainage system as needed. Nine patients so treated have been followed from the third through the twelfth years of life. All are alive and growing well. Four patients had chronic urinary infection treated with long-term antibiotics; three of these have required a second surgical correction of some aspect of the urinary drainage system. Three patients have required additional surgery on the abdominal wall, but have recaptured enough function so that corsets ...Continue Reading

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Citations

May 1, 1984·Canadian Anaesthetists' Society Journal·C F Ward
Dec 27, 2011·Pediatric Surgery International·S HassettA J A Holland
Oct 2, 2002·American Journal of Surgery·Eli S SchesselRan Kim
Jan 25, 2007·Annals of Plastic Surgery·Elie LevineIsrael Franco
Sep 13, 2000·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·R Ger, E V Coryllos
Sep 1, 1989·The Journal of Urology·M E FallatJ G Randolph
Oct 13, 2018·Anatomy & Cell Biology·Bhagyam ValappilAshwija Shetty
Jan 1, 1987·The Journal of Urology·K A BurbigeJ K Lattimer
Aug 12, 2021·Journal of Pediatric Urology·Beatriz Fernández-BautistaAlberto Parente

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