Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 5 Issue 12

Pelvic Osteotomies in Bladder Exstrophy: Surgical Technique and Case Follow-Up

Raúl Quispe Suárez1* and Paola Castro Suárez2

1Pediatric Orthopedic Surgeon, Dr. Q. Medical Center, Lima -Peru

2Resident of Orthopedics and Traumatology, Hospital Central Policia Nacional del Peru, Lima - Peru

*Corresponding Author: Raúl Quispe Suárez, Pediatric Orthopedic Surgeon, Dr. Q. Medical Center, Lima -Peru

Received: July 15, 2022; Published: November 07, 2022

Abstract

The Classic Bladder Exstrophy is part of the Exstrophy - Epispadias Complex; it is a rare condition in which there are anomalies in the formation of the genitourinary system, and in its more severe cases compromises the digestive system and the pelvic ring as well. Orthopedic treatment remains challenging and involves improving the pelvic ring continent and reducing the diastasis of the pubic symphysis through pelvic osteotomies. We present the case of an 08-month-old male karyotype patient with bladder exstrophy, omphalocele, imperforate anus, sacral anomaly and pelvic alteration, who underwent surgical management for genitourinary and pelvic ring reconstruction; We describe the surgical technique used, the evolution and post-surgical follow-up at 3 years.

Keywords: Bladder Exstrophy; Pelvic Osteotomy; Congenital Abnormalities

References

  1. Mouriquand P. “Congenital Disorders of the bladder and urethra”. En: Whitfield HN, Hendry WF, Kirby RS, Ducett JW, editores. Textbook of Genitourinary Surgery. London: Blackwell Science (1998): 205-2
  2. Lancaster PA. “Epidemiology of bladder exstrophy: a communication from the International Clearinghouse for Birth Defects monitoring systems”. Teratology2 (1987): 221-227.
  3. Shapiro E., et al. “The inheritance of the exstrophy-epispadias complex”. Journal of Urology 2 (1984): 308-310.
  4. Stuhldreher PP., et al. “Exstrophy- epispadias complex”. Current Bladder Dysfunction Reports 3 (2015): 227-232.
  5. Gearhart JP and Jeffs RD. “Exstrophy-epispadias complex and bladder anomalies. En: Campbell’s Urology, 7th Edited by P. C. Walsh, A. B. Retik., et al. Philadelphia: W. B. Saunders, vol. 2, sect. XIII, chapter 63 (1998): 1939-1990.
  6. Purves JT AND Gearhart JP. “Pelvic osteotomy in the modern treatment of the exstrophy-epispadias complex”. EAU-EBU Update Series1 (2007): 188-196.v
  7. Sponseller PD., et al. “The anatomy of the pelvis in the exstrophy complex”. The Journal of Bone and Joint Surgery. American 2 (1995): 177-189.
  8. Sponseller PD., et al. “Osteotomy for Bladder Exstrophy: Commentary and Ten Tips for Success”. JPOSNA 2.3 (2020): 1-3.
  9. Sponseller PD., et al. “Anterior innominate osteotomy in repair of bladder exstrophy”. The Journal of Bone and Joint Surgery. American 83- A (2001): 184-193.
  10. Wild AT., et al. “The role of osteotomy in surgical repair of bladder exstrophy”. Seminars in Pediatric Surgery 20 (2011): 71-78.
  11. O’Phelan EH. “Iliac osteotomy in exstrophy of the bladder”. The Journal of Bone and Joint Surgery. American 45 (1963):
  12. Giordano M., et al. “Oblique pelvic osteotomy in the treatment of bladder exstrophy in neonates”. Journal of Pediatric Orthopaedics B3 (2019): 207-213.
  13. Okubadejo GO., et al. “Complications in orthopedic management of exstrophy”. Journal of Pediatric Orthopaedics 4 (2003): 522e8.
  14.  

Citation

Citation: Raúl Quispe Suárez and Paola Castro Suárez. “Pelvic Osteotomies in Bladder Exstrophy: Surgical Technique and Case Follow-Up". Acta Scientific Orthopaedics 5.12 (2022): 43-45.

Copyright

Copyright: © 2022 Raúl Quispe Suárez and Paola Castro Suárez. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is April 30th, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue".
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US