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Revista Mexicana de Ortopedia Pediátrica

ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica
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2018, Number 1

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Rev Mex Ortop Ped 2018; 20 (1)

Modern treatment of the bladder exstrophy: a case report

Castañeda-Martínez AI. Valcarce-León JA
Full text How to cite this article

Language: Spanish
References: 11
Page: 44-48
PDF size: 674.72 Kb.


Key words:

Exstrophy-epispadias complex, newborn, osteotomy.

ABSTRACT

The treatment of the newborn with bladder exstrophy continues to be one of the most difficult challenges in the fields of urology and orthopedics, being an infrequent malformation that represents the most significant urological abnormality compatible with life. We report the case of a nine months old female patient diagnosed with bladder exstrophy and pubic symphysis diastasis who underwent multidisciplinary surgical management by closing the pubic symphysis and genital reconstruction.


REFERENCES

  1. Ebert AK, Reutter H, Ludwig M, Rösch WH. The exstrophy-epispadias complex. Orphanet J Rare Dis. 2009; 4: 23.

  2. Lattimer JK, Smith MJ. Exstrophy closure: a followup on 70 cases. J Urol. 1966; 95(3): 356-359.

  3. Evans JA, Darvill KD, Trevenen C, Rockman-Greenberg C. Cloacal exstrophy and related abdominal wall defects in Manitoba: incidence and demographic factors. Clin Genet. 1985; 27(3): 241-251.

  4. Candia-Tapia J, Fiscina S, Miscione H. Modificación de la osteotomía innominada clásica para el cierre de la extrofia vesical. Rev Asoc Argent Ortop Traumatol. 2007; 72(2): 130-133.

  5. Stuhldreher PP, Inouye B, Gearhart JP. Exstrophy-epispadias complex. Curr Bladder Dysfunct Rep. 2015; 10(3): 227-232.

  6. Purves JT, Gearhart JP. Pelvic osteotomy in the modern treatment of the exstrophy-epispadias complex. EAU-EBU Update Series. 2007; 5(1): 188-196.

  7. Sponseller PD, Bisson LJ, Gearhart JP, Jeffs RD, Magid D, Fishman E. The anatomy of the pelvis in the exstrophy complex. J Bone Joint Surg Am. 1995; 77(2): 177-189.

  8. O’Phelan EH. Iliac osteotomy in exstrophy of the bladder. J Bone Joint Surg Am. 1963; 45(7): 1409-1422.

  9. Baird AD, Nelson CP, Gearhart JP. Modern staged repair of bladder exstrophy: a contemporary series. J Pediatr Urol. 2007; 3(4): 311-315.

  10. Wild AT, Sponseller PD, Stec AA, Gearhart JP. The role of osteotomy in surgical repair of bladder exstrophy. Semin Pediatr Surg. 2011; 20(2): 71-78.

  11. Riaz S, Sarwar S, Umar M. Fixation of bilateral pelvic osteotomies with external fixator in exstrophy bladder complex. J Pak Med Assoc. 2005; 55(12): 537-539.




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Rev Mex Ortop Ped. 2018;20