Brenes VF, Ramírez RT, Sanabria ÁG

Idioma: Español
Referencias bibliográficas: 22
Paginas: 517-522
Archivo PDF: 200.67 Kb.

RESUMEN

La extrofia vesical es una deformidad congénita compleja, que incluye el aparato musculo esquelético, en la parte anterior de la pelvis se observa diastasis del pubis, y la parte posterior se muestra en rotación externa. Esta demostrada la importancia de la osteotomía pélvica en estos casos para permitir la relajación de los tejidos blandos y así el éxito en la reconstrucción urológica. Se describen los resultados del manejo ortopédico de la extrofia vesical en el Hospital Nacional de Ninos, donde se destacan dos aspectos, la intervención quirúrgica ortopédica temprana, en etapa neonatal, y el tipo de osteotomía, la cual se considera muy propia del centro. Los resultados obtenidos son muy buenos, con escasas complicaciones, se incluyen 9 pacientes, con 9 a 18 años de evolución de su cirugía, se analizan los resultados radiológicos y funcionales.

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