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Fascia Lata and Early Spica Casting as Adjuncts in Closure of Bladder Exstrophy

1990; Lippincott Williams & Wilkins; Volume: 144; Issue: 2 Part 2 Linguagem: Inglês

10.1016/s0022-5347(17)39520-4

1527-3792

Hal C. Scherz, George W. Kaplan, David H. Sutherland, Michael G. Packer,

Urologic and reproductive health conditions

No AccessJournal of Urology1 Aug 1990Fascia Lata and Early Spica Casting as Adjuncts in Closure of Bladder Exstrophy Hal C. Scherz, George W. Kaplan, David H. Sutherland, and Michael G. Packer Hal C. ScherzHal C. Scherz More articles by this author , George W. KaplanGeorge W. Kaplan More articles by this author , David H. SutherlandDavid H. Sutherland More articles by this author , and Michael G. PackerMichael G. Packer More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)39520-4AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Correction of the skeletal defect seen in the exstrophy complex consists of reconstitution of the pelvic ring. Long-term success depends upon the formation of a fibrous union between the pubes. When this union does not occur diastasis of the pubis results. Long-term urological success appears to be related to adequate pubic approximation. We used fascia lata to construct an anterior pelvic ligament between the pubic bones in 7 patients. In the 6 patients for whom followup is available the fascia lata has persisted and appears to be viable histologically on biopsy specimens obtained at a subsequent operation. Because the fascia lata holds the pubis together so well we have been able to cease Bryant’s traction in children by 2 weeks and place them into a cast. This has resulted in early discharge from the hospital in all patients. For these reasons we believe that fascia lata is a useful adjunct in the armamentarium of materials used to reapproximate the pubis. © 1990 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byKarmarkar S, Patankar J, Oak S, Ramadwar R, Kulkarni B and Deshmukh S (2018) The 3-Loop Technique: A Reliable Technique for Anterior Pubic Fixation in Bladder ExstrophyJournal of Urology, VOL. 154, NO. 3, (1173-1176), Online publication date: 1-Sep-1995. Volume 144 Issue 2 Part 2 August 1990 Page: 550-553 Advertisement Copyright & Permissions© 1990 by The American Urological Association Education and Research, Inc.Metrics Author Information Hal C. Scherz More articles by this author George W. Kaplan More articles by this author David H. Sutherland More articles by this author Michael G. Packer More articles by this author Expand All Advertisement PDF downloadLoading ...