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Annals of African Medicine
Annals of African Medicine Society
ISSN: 1596-3519
Vol. 10, No. 3, 2011, pp. 243-245
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Bioline Code: am11050
Full paper language: English
Document type: Research Article
Document available free of charge
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Annals of African Medicine, Vol. 10, No. 3, 2011, pp. 243-245
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Abdominal wall closure in bladder exstrophy complex repair by rectus flap
Hosseini, S. M. V.; Sabet, B & Zarenezhad, M
Abstract
Background and Objectives: The Exstrophy Complex (EC) is a serious malformation of midline abdominal wall. Wide pubis prevents approximating the lateralized rectus muscle and leads to dehiscence and fistula formation. Our aim was to recommend an easier method for abdominal wall closure in the Bladder Exstrophy (BE) complex repair.
Materials and Methods: From November 2007 to April 2010, we had three case of Cloacal Exstrophy (CE) and 10 BE, in which early bladder closure and coverage were performed by wide mobilization of bladder and rectus muscle flap closure in the midline without pubic closure.
Results: Two cases of CE had only minor wound dehiscence and bladder prolapsed later. One of the 10 BE cases developed vesicocutaneous fistula and the other two had minor wound dehiscence.
Conclusions: Our Technique reconstructed the abdominal wall with less morbidity and hospitalization because of tensionless closure.
Keywords
Abdominal wall closure, bladder exstrophy, rectus flap
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© Copyright 2011 Annals of African Medicine. Alternative site location: http://www.annalsafrmed.org
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