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| Year : 2001 | Volume
: 6
| Issue : 3 | Page : 80-83 |
Surgical reconstruction of urinary bladder in children with exstrophy- epispadias complex : a preliminary report
AK Ray, NN Mukherjee, S Mukherjee, AK. Nandy
Division of Pediatr surg, Medical College, Kolkata
Correspondence Address:
AK Ray
Division of Pediatr surg, Medical College, Kolkata
 Source of Support: None, Conflict of Interest: None  | Check |
ABSTRACT: Surgical repair of 37 patients (2 weeks - 8 years of age) with EXSTROPHY-EPISPADIAS Complex were carried out in our Institute between February 1990 and December 2000. Thirty of the total 37 patients had primary closure of bladder; 20 with osteotomy and the remaining 10 without osteotomy. Seven babies had very small and fibrotic patch bladder and all of them underwent permanent diversion in the form of ileo-cecal bladder. Nineteen children have completed all stages of operation, primary closure, epispadias repair and bladder neck reconstruction. Common problems encountered during repair of bladder exstropy included vesical fistula, failure of bladder to heal and inguinal hernia in postoperative period. The dry interval period achieved in successful cases varied from 1 to 2 hours with growing age and they are in follow up for last 11 years.
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