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Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 2 No. 2 (2011)

Early Post-operative Outcome of Primary Repair of Bladder Exstrophy With or Without Osteotomy

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2011
CONTENTSVolume 02Number 2July 2011
Editorial
Laparoscopy in Children, A Brief Outline and Bangladesh Perspective
Md. Jafrul Hannan
42
Original Articles
Outcome of Vesiciureteric Reflux After Primary Fulguration of Posterior Urethral Valves
M. M. Masud Pervez, Kaniz Hasina, Md. Ashraf Ul Huq, Md. Nooruzzaman, Abdul Hanif
46
Post A-H Pyeloplasty Analysis of Renal Function in Unilateral Hydronephrosis Due to Congenital Pelviureteric Junction Obstruction
Nandan Kumar Majumder, Md. Ruhul Amin, Rajib Khastgir, Mizanur Rahman, Md. Abu Bakar Akan
53
Assesment of The Effect of Multimodal Preemptive Analgesia in Children
Md. Nooruzzaman, MM Masud Pervez, Md. Abu Bakar Akan, M Anisuzzaman, Md. Nazrul Islam, AM Shahinoor
56
Early Post-operative Outcome of Primary Repair of Bladder Exstrophy With or Without Osteotomy
S. M. Borhan Uddin, Md. Abu Bakar Akan, Rajib Khastgir, Md. Ruhul Amin
63
Evaluation of Congenital Upper Urinary Tract Anomalies in Hypospadias
Md. Abdullah Al Farooq, Shafiqul Hoque
68
Decreased Morbidity and Mortality from Intestinal Ascariasis: Experience of a Single Center
Md. Akbar Hossain Bhuyian, Md. Abdullah Al Farooq, Md. Minhajuddin Sajid, MA Mushfiqur Rahman, Md. Momtazul Hoque, Khurshid Alam Sarwar, Tanvir Kabir Chowdhury, Mahfuzul Kabir, Tahmina Banu
73
Case Reports
Desmoplastic Small Round Cell Tumour (DSRCT) - A Case Report and Review of Literature
AKM Amirul Morshed, Farhana Afroz, Chowdhury Md. Fuad Galib, Shahnoor Islam, Kaniz Hasina, Ashish Kumar Ghosh
79
Spontaneous Common Bile Duct Perforation on The Background of Pancreatic Lithiasis: A Case Report and The Review of The Literatures
Md. Abdullah Al Farooq, M A Mushfiqur Rahman, Mahfuzul Kabir, Md. Akbar Husain Bhuiyan, Md. Minhajuddin Sajid, Rupam Talukder, Tanvir Kabir Chowdhury, Tahmina Banu
83
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • S. M. Borhan UddinDepartment of Pediatric Surgery, Dinajpur Medical College, Dinajpur
  • Md. Abu Bakar AkanMedical Officer, Upzilla Health Complex, Swarupkathi, Pirojpur
  • Rajib KhastgirDepartment of Anatomy, Chittagong Medical College, Chittagong
  • Md. Ruhul AminDepartment of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka

Keywords

Bladder extrophy osteotomy diastasis

Abstract

Background: Bladder exstrophy (BE) is a variety of infraumbilical midline anterior abdominal wall defect. This rare spectrum of anomalies involves the urinary tract, genital tract, musculoskeletal, system and sometimes the intestinal tract. Surgical reconstruction with or without osteotomy is the treatment of choice for BE. Objective: To evaluate the intersymphyseal gap (ISG) before, during and after operation (pubic diastasis) and to evaluate the status of post-operative wound healing. Materials & Methods: This cross sectional study was conducted on 18 patients of paediatric age group over a period from February 2007 to October 2008 who were admitted with classical bladder extrophy (BE) in the department of paediatric surgery, BSMMU. They were divided into two groups. In group-A: 8 patients of BE were undergone primary repair with osteotomy and in group-B primary repair done in 10 patients without osteotomy. Results: Two (2) months post operative follow up revealed that all osteotomy patients (group- A) developed re-diastasis of pubic symphysis. Statistically no significant difference of ISG was observed in two groups of patients. Wound healing was better in without osteotomy (group-B) patients (80% vs 50%) and wound failure was more in osteotomy patients (50% vs 20%). Moreover, osteotomy group need hospitalization for longer period of time. Conclusions: Although osteotomy is an essential step in the management of BE, this study revealed that it does not improve the early post-operative outcome.

Journal of Paediatric Surgeons of Bangladesh (2011) Vol. 2 (2): 63–67

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