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Bilateral Anterior Pubic Osteotomy in Bladder Exstrophy Closure

1996; Lippincott Williams & Wilkins; Volume: 156; Issue: 2S Linguagem: Inglês

10.1016/s0022-5347(01)65825-7

1527-3792

Pascal Frey,

Urinary and Genital Oncology Studies

No AccessJournal of UrologyExstrophy/Epispadias1 Aug 1996Bilateral Anterior Pubic Osteotomy in Bladder Exstrophy Closure Peter Frey Peter FreyPeter Frey View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65825-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract 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 pubic 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. 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Google Scholar From the Department of Pediatric Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited bySTEIN R, JÜNGER T, ANDERS M, FISCH M, KERSCHBAUMER F, HOWALDT H and HOHENFELLNER R (2018) THE GIESSEN-MAINZ-FRANKFURT PROCEDURE: A NEW METHOD FOR COMPLEX PELVIC RECONSTRUCTION FOR BLADDER EXSTROPHYJournal of Urology, VOL. 165, NO. 4, (1235-1239), Online publication date: 1-Apr-2001. Volume 156Issue 2SAugust 1996Page: 812-815 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Peter Frey More articles by this author Expand All Advertisement PDF downloadLoading ...