Perioperative Challenges in Repeat Bladder Exstrophy Repair - Case Report

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Perioperative Challenges in Repeat Bladder Exstrophy Repair - Case Report

Bladder exstrophy is a rare congenital malformation. It presents as leakage of urine in the anterior abdominal wall following defects in midline anterior abdominal wall skin and bladder. We report the use of combined general anaesthesia and caudal epidural analgesia in a 4yr old boy for repeat bladder exstrophy repair. Problems of prolonged surgery and the challenges of pain and sedation manage...

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Cloacal exstrophy is the most complex congenital, ventral, abdominal wall defect. Traditionally surgery consists of a staged approach to repair which takes place on many separate theatre visits. In this case a primary approach was undertaken resulting in a relatively short inpatient stay and a reduced risk from multiple surgical procedures under general anaesthesia.

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Formation of bladder stone in repaired case of bladderexstrophy is reported to be around 15%. Formation of stone in urethra is rare accounting for less than 0.3% of cases. We report one such case of penile urethral stone presenting 7 years after bladderexstrophy repair. Stone was removed by urethrotomy and urethroplasty was done over Foley’s catheter. Patient developed urethro-cutaneous fistula...

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Perioperative management of classic bladder exstrophy

The exstrophy-epispadias complex is a rare congenital malformation of the genitourinary system, abdominal wall muscles, and pelvic structures. Modern surgical repairs focus on reconstruction of the bladder and its adjacent structures, with the goal of achieving urinary continence, a satisfactory cosmetic result, and a high quality of life. Complex surgery in neonates and young children, as well...

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Bladder exstrophy is a very rare congenital disorder, in which the first stage of reconstruction is usually performed within the first 72 hours of life. The most feared form of failure of the reconstruction is postoperative dehiscence of the bladder and abdominal wall. We present an 11-year-old girl with bladder exstrophy. She underwent three iliac bone supra-acetabular osteotomies with repair ...

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ژورنال

عنوان ژورنال: Open Access Macedonian Journal of Medical Sciences

سال: 2015

ISSN: 1857-9655

DOI: 10.3889/oamjms.2015.047