Abstract | OBJECTIVE: METHODS: RESULTS: All patients achieved a closure of diastasis and a tension free repair after the index surgery. The average follow-up was 3.6 years with range of 4 months to 6 years. All osteotomies healed within two months and had closure of the diastasis, except one which had a partial failure with loss of 50% correction. No patient had any wound dehiscence or breakdown of the bladder repair. Preoperative mean diastasis of symphysis pubis was 6 cm (range; 4.5 cm to 7 cm) and post operative mean diastasis was 3.5 cm with the range of 2.5 cm to 4 cm at 12 months follow up. All patients achieved urinary continence post operatively and were passing urine per-urethra with satisfactory urinary control as followed-up with the pediatric urologists. CONCLUSION: Bilateral iliac osteotomies and use of external fixator in our series was found to be helpful in achieving a tension free closure and preventing dehiscence of the repair.
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Authors | Salman Riaz, Shahbaz Sarwar, Masood Umar |
Journal | JPMA. The Journal of the Pakistan Medical Association
(J Pak Med Assoc)
Vol. 55
Issue 12
Pg. 537-9
(Dec 2005)
ISSN: 0030-9982 [Print] Pakistan |
PMID | 16438273
(Publication Type: Journal Article)
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Topics |
- Adult
- Bladder Exstrophy
(surgery)
- Child
- Child, Preschool
- External Fixators
- Female
- Humans
- Ilium
(abnormalities, diagnostic imaging, surgery)
- Infant
- Male
- Osteotomy
(instrumentation, methods)
- Pelvic Bones
(abnormalities, diagnostic imaging, surgery)
- Pubic Symphysis
(abnormalities, surgery)
- Radiography
- Retrospective Studies
- Urologic Surgical Procedures
(instrumentation, methods)
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