Delayed primary closure of bladder exstrophy without osteotomy: 12 year experience in a safe and gentle alternative to neonatal surgery
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Read the article on jpedsurg.org ↗Article · Dec 2021 · 1 min read
In brief
In brief
This 12-year retrospective study evaluates delayed primary closure of classic bladder exstrophy without pelvic osteotomy in 66 patients, challenging traditional neonatal surgical approaches. The technique demonstrates feasibility of closure at mean age 65 days with focus on reduced perioperative morbidity and pain management optimization.
Written by the GCMD Library team from the article.
Background
Successful primary closure of bladder exstrophy is of utmost importance for bladder capacity and urinary continence. We evaluated our concept of delayed primary closure that challenges the role of neonatal surgery, pelvic osteotomy, and perioperative pain management.
Material and Methods
We reviewed the medical records of patients with classic bladder exstrophy (CBE) who had undergone delayed primary closure without osteotomy at our institution between January 2008 and May 2020. Data to be analyzed included patient demographics, intraoperative pelvic laxity, blood transfusion, postoperative ventilation time, requirement of pain medication, time to full feeds, length of ICU stay, postoperative complications, and total hospital stay.
Results
66 patients (44 boys) met the inclusion criteria. Mean age at surgery was 64.8 days (SD±24.7). Pelvic approximation