scholarly journals Long‐term effectiveness and safety of bladder augmentation in spina bifida patients

Author(s):  
Jesús Romero‐Maroto ◽  
Laura Martinez‐Cayuelas ◽  
Luis Gómez‐Pérez ◽  
Pau Sarrió‐Sanz ◽  
Edgar Olarte Barragán ◽  
...  
2021 ◽  
Vol 79 ◽  
pp. S1510-S1511
Author(s):  
B. Bañuelos Marco ◽  
K.C. Trojan ◽  
J. Schneider ◽  
A.M. Kaindl ◽  
A. Lingnau

2003 ◽  
Vol 169 (1) ◽  
pp. 195-198 ◽  
Author(s):  
MARCUS L. QUEK ◽  
DAVID A. GINSBERG

2020 ◽  
Vol 14 (6) ◽  
Author(s):  
James P.J. Ross ◽  
Melise Keays ◽  
Christopher Neville ◽  
Michael Leonard ◽  
Luis Guerra

Introduction: Bladder augmentation is a surgery that can increase bladder capacity and compliance. The objective of this study was to provide a longitudinal review of pediatric bladder augmentation at a tertiary Canadian center. Methods: A retrospective review was performed on patients who underwent bladder augmentation at a tertiary pediatric hospital between 1986 and 2014. The primary objective was short- and long-term complications of augmentation. Secondary objectives were to review number of augmentation procedures performed over time and the utility of routine postoperative cystograms. Results: A total of 56 procedures were performed on 54 patients (28 males, 26 females) of mean age 10 years (standard deviation [SD] 5) and mean followup eight years (SD 5). The most common bowel segment used was ileum (87.5%). Twenty-eight patients (50%) received catheterizable channels. Overall complication rate was 15%, and the most common complications were urinary tract infections (68.5%), worsening hydronephrosis (14.8%), bladder stone formation (14%), and hematuria (13%). In total, 19 of 54 (35.2%) patients returned to the operating room. The incidence of bladder perforation was 3.6%. Complications with the catheterizable channel occurred in 13 of 28 (46.4%), of which 10 were related to stomal stenosis. Forty patients had postoperative cystograms and extravasation was seen in three (7.5%). There was no malignancy during the followup. Only four augmentations were performed from 2008–2014. Conclusions: Bladder augmentation likely represents a safe surgical treatment option. Extravasation on postoperative cystogram was uncommon and thus it may not be indicated routinely. The number of augmentation procedures performed has declined in recent years.


2011 ◽  
Vol 97 (5) ◽  
pp. 474-476 ◽  
Author(s):  
Pippa Oakeshott ◽  
Gillian M Hunt ◽  
Alison Poulton ◽  
Fiona Reid

2005 ◽  
Vol 80 (10) ◽  
pp. 1435-1440 ◽  
Author(s):  
Waifro Rigamonti ◽  
Alfio Capizzi ◽  
Graziella Zacchello ◽  
Vincenzo Capizzi ◽  
Giovanni Franco Zanon ◽  
...  

Author(s):  
Joanne Spaliaras

Spina bifida is a defect in which the vertebral arch of the spinal column is either incompletely formed or absent. Failure of closure of the neural tube during the third week of gestation leads to the constellation of defects observed in patients with meningomyelocele or open spina bifida. Myelomeningocele is the most common neural tube defect and the most severe birth defect compatible with long-term survival. It is associated with several characteristic central nervous system anomalies. Leak of cerebrospinal fluid (CSF) is commonly observed. The major indication for early operative repair (within 48 hours of delivery) is prevention of infection. Protection of the exposed neural tissue from trauma and drying is essential. An understanding of the pathophysiology and associated conditions of myelomeningocele helps guide anesthetic management of these patients.


1996 ◽  
Vol 155 (6) ◽  
pp. 2098-2104 ◽  
Author(s):  
Bradley P. Kropp ◽  
Marian K. Rippy ◽  
Stephen F. Badylak ◽  
Mark C. Adams ◽  
Michael A. Keating ◽  
...  

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