Closure and augmentation of bladder exstrophy using rectus abdominis musculo-peritoneal flap

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Abdominal wall closure in bladder exstrophy complex repair by rectus flap.

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 ...

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Repair of Vesicocutaneous and Urethrocutaneous Fistulae with Rectus Muscle Flap in a Bladder Exstrophy Patient

Urinary continence can be achieved in up to 90% of patients with bladder exstrophy. However, select patients remain incontinent despite modern reconstruction. Repeat operations for continence combined with the congenital pelvic abnormalities of exstrophy put patients at risk for urinary fistula formation. We report the use of a rectus muscle flap in the repair of two concomitant vesicocutaneous...

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Closure of bladder in the extrophy epispadisis complex by rectus muscle flap without pelvic osteotomy, a new approch

Introduction: Bladder Exstrophy (BE) is a congenital anomaly in which the bladder and abdominal wall and external genitalia are pathologically open. Incidence of this anomaly is one in 50000. Treatment of this anomaly is complicated and, the old method of treatment was pelvic osteotomy. The aim of this study was offering a new surgical approach, which is closure of the bladder in bladder ex...

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Resurrection of the rectus abdominis musculoperitoneal flap for pelvic exenteration?

Becoming aware of the article of Cibula et al. (Cibula et al., 2017) entitled “Pelvic floor reconstruction by modified rectus abdominis myoperitoneal (MRAM) flap after pelvic exenterations” in Gynecologic Oncology made me curious: Has the rectus musculoperitoneal flap, a slimmed version of the transversus and rectus abdominis musculoperitoneal flap developed by us 20 years ago (Höckel, 1996; Ko...

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ژورنال

عنوان ژورنال: Indian Journal of Plastic Surgery

سال: 2011

ISSN: 0970-0358

DOI: 10.4103/0970-0358.90817