Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Long-Term Follow-Up With Cardiovascular Magnetic Resonance in 2 Patients With Isolated Left Ventricular Apical Hypoplasia.

JACC. Case reports·2026

Same author

2024 European Society of Cardiology guidelines for the management of chronic coronary syndromes : Statement of endorsement by the NVVC.

Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·2026

Same author

Ultrafast ultrasound shear wave elastography: a novel approach for assessing myocardial stiffening in congenital aortic stenosis.

Open heart·2026

Same author

Maternal pre-pregnancy BMI, gestational weight gain, and the cardiovascular stress response in the adolescent offspring.

American journal of preventive cardiology·2026

Same author

Left Ventricular Strain-Volume Loops in a Healthy Population: The Role of Sex and Age.

Echocardiography (Mount Kisco, N.Y.)·2026

Same author

When Melanoma Defies Cardiovascular Magnetic Resonance: Atypical Features of Cardiac Metastasis in the left atrium.

European heart journal. Cardiovascular Imaging·2026

Search research articles

Related Experiment Video

Updated: Jun 9, 2025

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

Cloacal Exstrophy Closure Without Osteotomy and Immobilization: A Recipe for Failure.

David Heap¹, Ahmad Haffar¹, Chad B Crigger¹

¹Robert D. Jeffs Division of Pediatric Urology, James Buchanan Brady Urological Institutions, Johns Hopkins Hospital, Johns Hopkins Medical Institutions, Charlotte Bloomberg Children's Hospital, Baltimore, MD, USA.

Journal of Pediatric Surgery

|October 23, 2024

Summary

Cloacal exstrophy closure without osteotomy or immobilization has a high failure rate. These interventions are critical for successful bladder and abdominal wall closure in CE patients.

Keywords:

Buck's traction Cloacal exstrophy External fixation Immobilization Pelvic osteotomy Pubic diastasis

More Related Videos

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

Related Experiment Videos

Last Updated: Jun 9, 2025

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

Area of Science:

Pediatric Surgery
Congenital Anomalies
Urology

Background:

Cloacal exstrophy (CE) is a severe birth defect affecting multiple organs.
Current management often involves pelvic osteotomy and immobilization for bladder closure, but their necessity is debated.

Purpose of the Study:

To evaluate the outcomes of CE closure performed without osteotomy or lower extremity (LE)/pelvic immobilization.

Main Methods:

Retrospective review of 173 CE patients from an institutional database.
Analysis of 59 closure surgeries in 56 unique patients performed without osteotomy and/or LE/pelvic immobilization.
Data collected on continence procedures, reclosures, and continence outcomes.

Main Results:

High failure rate (63%) observed in closures without osteotomy or immobilization.
Failures attributed to dehiscence and/or bladder prolapse.
Successful outcomes were more common with LE immobilization, but still limited (37%).

Conclusions:

Osteotomy and LE immobilization play a critical role in achieving successful bladder and abdominal wall closure in CE.
The study underscores the importance of these adjuncts in managing this complex condition.