title: Use of tissue expanders in final reconstruction of infrapubic midline scar, mons pubis, and vulva after bladder exstrophy repair.
abstract: Two patients following bladder exstrophy repair presented for final cosmetic reconstruction with the characteristic lower abdominal midline scar, bisected mons pubis, and laterally displaced labia majora. Tissue expanders were used to obtain additional skin and subcutaneous tissue. After adequate serial expansion, the expanders were removed, scar tissue excised, and primary approximation of healthy tissues performed. A tension-free closure and esthetically pleasing midline incision, mons pubis, and vulva were obtained.
authors: Department of Surgery, New York Hospital, Cornell Medical Center, New York.
authors: J F
authors: JF
authors: Eid
authors: P
authors: P
authors: Rosenberg
authors: K
authors: K
authors: Rothaus
authors: D
authors: D
authors: Mininberg
authors: L
authors: L
authors: Hoffman
authors: E D
authors: ED
authors: Vaughan
mesh_terms: D000293:Adolescent; D001746:Bladder Exstrophy / Q000601:surgery*; D002921:Cicatrix / Q000601:surgery*; D005260:Female; D005836:Genitalia, Female / Q000601:surgery; D006801:Humans; D007223:Infant; D011183:Postoperative Complications / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods; D015625:Tissue Expansion Devices; D014844:Vulva / Q000601:surgery*