Fascia lata and early spica casting as adjuncts in closure of bladder exstrophy.
Publication/Presentation Date
8-1-1990
Abstract
Correction of the skeletal defect seen in the exstrophy complex consists of reconstitution of the pelvic ring. Long-term success depends upon the formation of a fibrous union between the pubes. When this union does not occur diastasis of the pubis results. Long-term urological success appears to be related to adequate pubic approximation. We used fascia lata to construct an anterior pelvic ligament between the pubic bones in 7 patients. In the 6 patients for whom followup is available the fascia lata has persisted and appears to be viable histologically on biopsy specimens obtained at a subsequent operation. Because the fascia lata holds the pubis together so well we have been able to cease Bryant's traction in children by 2 weeks and place them into a cast. This has resulted in early discharge from the hospital in all patients. For these reasons we believe that fascia lata is a useful adjunct in the armamentarium of materials used to reapproximate the pubis.
Volume
144
Issue
2 Pt 2
First Page
550
Last Page
553
ISSN
0022-5347
Published In/Presented At
Scherz, H. C., Kaplan, G. W., Sutherland, D. H., & Packer, M. G. (1990). Fascia lata and early spica casting as adjuncts in closure of bladder exstrophy. The Journal of urology, 144(2 Pt 2), 550–563. https://doi.org/10.1016/s0022-5347(17)39520-4
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
2374238
Department(s)
Department of Pediatrics
Document Type
Article