The treatment of application of pedicled myocutaneous island flap of anterolateral thigh muscle for the suprapubic defect in adolescent with bladder exstrophy
10.3760/cma.j.issn.1009-4598.2018.12.008
- VernacularTitle: 带血管蒂股前外侧肌肌皮瓣修复青少年膀胱外翻腹壁缺损
- Author:
Lihua GUO
1
;
Qian ZHANG
;
Lei WANG
;
Ji LI
;
Yueqiang YAN
;
Ningning YANG
;
Ning LIU
;
Yingzhong FAN
;
Jiaxiang WANG
Author Information
1. Department of Pediatric Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
- Publication Type:Journal Article
- Keywords:
Exstrophy of bladder;
Adolescence;
Operation
- From:
Chinese Journal of Plastic Surgery
2018;34(12):1023-1026
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the treatment effect of pedicled myocutaneous island flap of anterolateral thigh muscle on the suprapubic defect caused by bladder exstrophy in children.
Methods:The clinical data of 3 adolescents with bladder exstrophy were analyzed. All 3 cases underwent one-stage Kelly procedure and received the treatment using pedicled myocutaneous island flap of anterolateral thigh muscle to repair the suprapubic defect. The bladder expansion was performed with ileal sarcoplasmic layer graft, and the Cohen ureteral reimplantation was performed as well, for 1 case 1, 1 year after the first operation. The others 2 patients didn′t receive the second operation.
Results:All operations were successful. The femoral donor regions were directly closed. Postoperative follow-up period was 1-7 years. The myocutaneous island flaps were survived and grew well. All incisions of the femoral donor region were primary healing without scar hypertrophy. Urinary continence was achieved in 2 cases, and partially achieved in 1 case. Recurrent urinary tract infection, recurrent fever or abdominal pain were not observed in all patients.
Conclusions:The pedicled anterolateral thigh myocutaneous island flap is an alternative way to repair suprapubic defect caused by bladder exstrophy.
