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Anterior abdominal wall closure in bladder exstrophy
Authors:V. Bhatnagar  D. K. Mitra
Affiliation:(1) Department of Paediatric Surgery, All India Institute of Medical Sciences, 110029 New Delhi, India
Abstract:Anterior abdominal wall closure without pelvic osteotomy for bladder exstrophy can be very diffecult and more often than not calls for various reconstructive measures. A technique is described that involves bilateral detachment of the rectus abdominis from the pubic ramus, midline vertical closure, and refixation to the pubic rami after medial and caudal advancement. A relaxing fascial incision may be required. This technique has been used in 15 patients and has obviated the need for pelvic osteotomy, thereby decreasing the postoperative morbidity. It has resulted in good cosmetic repair in all patients in addition to the ease of abdominal wall closure. The healing has been remarkably good. This technique is particularly useful in children coming for primary surgery after the neonatal period.Correspondence to: V. Bhatnagar
Keywords:Bladder exstrophy  Abdominal wall  Rectus abdominis
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