
Multiple failed closure of bladder in children with vesical exstrophy: Safety and efficacy of temporary ileal patch augmentation in assisting bladder closure
Author(s) -
K V Satish Kumar,
Abraham Mammen,
Karthikeya K Varma
Publication year - 2014
Publication title -
journal of indian association of pediatric surgeons
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.306
H-Index - 17
eISSN - 1998-3891
pISSN - 0971-9261
DOI - 10.4103/0971-9261.142014
Subject(s) - medicine , bladder exstrophy , cloacal exstrophy , surgery , bladder augmentation , closure (psychology) , ureterosigmoidostomy , bladder stone , urinary bladder , cystectomy , anatomy , urinary system , bladder cancer , cancer , economics , market economy
The surgical approach to small bladder template in exstrophy bladder is difficult. Previously, many of these children underwent ureterosigmoidostomy and in recent times, the trend is to do a delayed primary closure. We have used ileal patch as a temporary cover for these small bladders with a view to encourage bladder growth and early results are encouraging.