Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Bladder Exstrophy”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,441 records · Page 80Linked to original sources
PubMed1981

Department of Anaesthesiology, Eastern Hospital, Gothenburg, Sweden.

Results of reconstruction of gastroschisis are presented. 27 consecutive patients operated upon during 1971 - 1980 are reviewed: 8 patients with primary closure, 19 patients reconstructed with a staged procedure (silon-pouch). It is concluded that both methods can be used, with low mortality: 1 patient in each group. The use of silon-pouch resulted, however, in a longer period of total parenteral nutrition (46 vs 18 days) and hospital care (8 vs 43 days).

Abdominal Muscles↗
PubMed1998

A complex, high cloacal malformation: case report.

Cloacal malformations are rare, complex inhibitional anomalies of early embryogenesis. We report a patient with a cloacal malformation in which a septate vagina and a rectal fistula emptied through a common orifice onto an exstrophic bladder plate. Additional anomalies included an omphalocele and malformations of the upper urinary tract and the lower extremities, skeleton, and vertebral column.

Abnormalities, Multiple↗
PubMed1999

Bladder augmentation: urodynamic findings and clinical outcome in different augmentation techniques.

OBJECTIVE: To compare the urodynamic findings and clinical outcome in different bladder augmentation techniques. PATIENTS AND METHODS: From 1987 to 1996, 32 bladder augmentations were performed in 30 (M:F/18:12) patients. Mean age was 8.1 years (range: 1-15 years) and the mean follow-up period was 3.2 years (range: 6 months to 8 years). The following techniques were used for bladder augmentation: sigmoid colon in eleven cases, stomach in nine cases, ileum in six cases, ileocaecum in two cases and rectus abdominis muscle flap (RAMF) in four cases. Seven patients also underwent Mitrofanoff procedure to create a continent stoma. RESULTS: According to the urodynamic evaluation the mean capacity was 237 +/- 120 ml in the colonic group, 115 +/- 86 ml in the gastric group, 240 +/- 45 ml in the ileal group, 250 +/- 0 ml in the ileocaecal group and 30 +/- 10 ml in the RAMF group. The mean compliance was 20.6 +/- 14 ml/cm H2O in the colonic group, 10.7 +/- 10.4 ml/cm H2O in the gastric group, 21.6 +/- 9 ml/cm H2O in the ileal group, 25.5 +/- 5.5 ml/cm H2O in the ileocaecal group, 5.8 +/- 1.5 ml/cm H2O in the RAMF group. The upper urinary tract was normal without hydronephrosis in all but except two patients. These two patients are still treated medically for chronic renal failure by the pediatric nephrology team. The patients are using their Mitrofanoff or native urethra with clean intermittent catheterization (CIC) or self-CIC technique for continence. CONCLUSION: Comparing these five different techniques, ileal, ileocaecal and colonic groups were in advantage to achieve high volume reservoirs, followed by the gastric group. Regarding complications; in colonic cases, mucus problems, stone formation and surgical complications related to gastrointestinal tract (intestinal obstruction, perforation) were the most common ones. Perineal dermatitis was the main complication in gastric cases. In the ileal group, complication rate was low. Absence of mucus production and the low postoperative complication rates were the two major advantages of RAMF technique. However this technique is not recommended as an augmentation procedure due to its low capacity and compliance rates. Recently, ileal augmentation has became the most popular method in our institution.

Bladder Exstrophy↗
PubMed1997

Endourologic management of ureterosigmoidostomy anastomotic stricture.

A 47-year-old woman presented with a stricture of a ureterosigmoid anastomosis. After through-and-through access had been established from a nephrostomy tract to the anus, an Acucise cutting balloon catheter was positioned retrograde and used to incise the strictured area. Twelve months postoperatively, the patient is doing well. Monitoring for colon adenocarcinoma continues.

Anastomosis, Surgical↗
PubMed2001

Urethral reconstruction in children.

For hypospadias repair tubularized incised plate urethroplasty provides excellent cosmetic and functional results. It appears to provide equivalent or even better outcomes than other standard procedures. However, long-term results are still lacking. Free grafts show similar complication rates to those with pedicled flaps, and onlays appear to be superior to tubes. By respecting the anatomy and with the use of a few surgical tricks, the fistula rate can be significantly reduced. For epispadias repair, the modified Cantwell-Ransley repair and the complete disassembly technique show good postoperative results, the latter being able to restore the normal anatomical relationship of the male genital components.

Bladder Exstrophy↗
PubMed2003

Vaginal and penile reconstruction.

PURPOSE OF REVIEW: Reconstructive surgery for patients with genital abnormalities or for patients who require reconstructive efforts is challenging. This review highlights those articles, which are outstanding among all those important papers, which have been published during the last year (2002-2003). RECENT FINDINGS: A greater understanding of embryonal development improves the success of reconstructive surgery. Other factors, such as the patient's sex, influence the surgical technique used and the degree of invasiveness or complexity. In the adult the pressure to shorten hospital stays has played a big part in the continual modification and enhancement of surgical techniques. In addition to modified techniques, new off-the-shelf materials are introduced to the clinic, which seem to have the potential to improve the surgical outcome and shorten hospital stays. SUMMARY: With the continued successful basic anatomy and basic research, reconstructive surgery brings higher success rates. Long-term results are still required to validate the reliability of these new surgical techniques and materials.

Bladder Exstrophy↗
PubMed2007

Intravenous paracetamol for postoperative analgesia in a 4-day-old term neonate.

There are only a few clinical reports on the use of intravenous (i.v.) paracetamol in term neonates. This case report illustrates that when routes for administration of analgesics are restricted to i.v. only and when opioids are not indicated then i.v. paracetamol may be used. In our 4-day-old term infant, despite i.v. paracetamol for 48 h, the trough level during therapy was almost undetectable indicating rapid clearance. Although i.v. paracetamol is not licensed in this age group, it can prove very helpful when the only route of administration is intravenous.

Acetaminophen↗