Effectiveness Analysis of Reconstruction of Absence of Abdominal Wall With Multi-Layer Tissue Flaps in Adult Bladder Exstrophy

Abstract Objective To investigate and analyze the feasibility and clinical effect of multi-layer reconstruction of absence of abdominal wall of adult bladder exstrophy with flaps, and to provide a reference method for clinical treatment of similar problems. Methods To summarize 12 adult patients with congenital Classic bladder exstrophy were initial treatment from June 2013 to January 2020, all abdominal wall defect were treated with multi-layer reconstruction of the shallow flap pedicled by the deep abdominal fascia and the deep joint aponeurosis flap composed by anterior sheath of rectus abdominis - aponeurosis of external oblique. The area of transferred flap was (9 cm×11 cm) to (13 cm×15 cm). Results Abdominal wall reconstruction of 12 cases cured well with sufficient strength and satisfactory appearance recovery. Conclusion The multi-layer reconstruction of absence of abdominal wall of congenital classic bladder exstrophy in adults by multiple flaps could get satisfactory appearance, sufficient strength and reliable effect in initial treatment.