One-stage reconstruction for exstrophy of the bladder in girls.
In an African female infant with exstrophy who was a candidate for complete reconstruction of the urinary tract, pelvis, and abdominal wall, the treatment program was simplified by performing iliac osteotomies at the same time as the other repairs, using a single transverse lumbosacral incision for access. A series of 3 wire loops held the symphysis in apposition. A plaster spica, followed by a plaster girdle, minimized the tension on the pubic wires. We believe that we obtained, by this method, superior strength and a better appearance of the abdominal wall and perineum.
D000009:Abdominal Muscles / Q000601:surgery; D001746:Bladder Exstrophy / Q000196:embryology / Q000601:surgery*; D002370:Casts, Surgical; D002648:Child; D003125:Colostomy; D005260:Female; D006801:Humans; D007085:Ilium / Q000601:surgery; D007223:Infant; D007231:Infant, Newborn; D008722:Methods; D010027:Osteotomy; D011631:Pubic Symphysis / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods; D014551:Urinary Tract / Q000002:abnormalities