| ORIGINAL ARTICLE |
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| Year : 2002 | Volume
: 18
| Issue : 2 | Page : 117-119 |
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Total correction of bladder exstrophy - our experience in 37 patients
AK Ray, NN Mukherjee, S Mukherjee, P Mukherjee
Division of Paediatric Surgery and Departments of Surgery & Anaesthesiology Medical College; Burdwan Medical College and NRS Medical College, Kolkata, India
Correspondence Address:
A K Ray
"Ray Villa", 59, Ray Bahadur Road, Kolkata - 700 034
India
 Source of Support: None, Conflict of Interest: None  | Check |
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All cases of exstrophy epispadias complex carried out in our centre between the period from February 1990 to December 1999. Total 37 cases of exstrophy epispadias complex were dealt with. Out of these, 30 cases underwent primary closure of bladder with or without osteotomy. 7 babies had very small fibrotic patch bladder primarily or secondary to failed primary closure and they went on forpermanent diversion in the form of ileocaecal bladder
Out of 30 cases, 20 underwent Jeffs' closure with osteotomy and in 10 cases primary closure was done without osteotomy.
In 19 patients we have completed all the stages of operation, that is, primary closure, epispadias repair and bladder neck reconstruction.
The main problems in exstrophy bladder repair remained the, failure of bladder to heal, vesical fistula formation, development of inguinal hernia in postoperative stage.
The dry interval period, following total correction of exstrophy bladder remains I to 2 hours with growing age. The children are in follow-up for 10 years now. |
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