1. Oblique pelvic osteotomy in the treatment of bladder exstrophy in neonates.
- Author
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Giordano M, Di Lazzaro A, Guzzanti V, Careri S, Bagolan P, Zaccara AM, and Toniolo RM
- Subjects
- Female, Follow-Up Studies, Humans, Infant, Infant, Newborn, Male, Osteotomy trends, Postoperative Care trends, Treatment Outcome, Bladder Exstrophy diagnostic imaging, Bladder Exstrophy surgery, Osteotomy methods, Pelvic Bones diagnostic imaging, Pelvic Bones surgery, Postoperative Care methods
- Abstract
Bladder exstrophy is a congenital and rare malformation of the lower abdominal wall with exposure of the bladder mucosa to the external environment, and it is related to pelvis abnormalities. Eighteen patients with bladder exstrophy were treated with bilateral oblique pelvic osteotomy in conjunction with urologic reconstruction after they were stabilized by cast. No failure of midline closure was observed (wound dehiscence or recurrence of bladder exstrophy). Follow-up showed no leg length discrepancy or problems in walking. Bilateral oblique pelvic osteotomy is a safe procedure to treat bladder exstrophy, and it results in good orthopedic and urological function.
- Published
- 2019
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