CASE REPORT |
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Year : 2019 | Volume
: 24
| Issue : 1 | Page : 65-67 |
Split-appendix technique for simultaneous use in the mitrofanoff principle and posterior urethral substitution in a bladder exstrophy–epispadias complex patient
Yogesh Kumar Sarin, Parveen Kumar
Department of Pediatric Surgery, Maulana Azad Medical College, New Delhi, India
Correspondence Address:
Dr. Parveen Kumar Department of Pediatric Surgery, Maulana Azad Medical College, New Delhi - 110 002 India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jiaps.JIAPS_71_18
We describe the case of a bladder exstrophy–epispadias complex (BEEC), in which a “split” appendix was used simultaneously as a posterior urethral replacement (for strictured Mitchell's repair) as well as a Mitrofanoff channel. Split appendix had been used before for simultaneous Mitrofanoff and Malone's antegrade contrast enema channels to manage neurogenic bladder and bowel. To the best of our knowledge, this is the first reported case for the use of split appendix for urethral reconstruction in a child with BEEC.
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