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Related Experiment Video

Updated: Jun 14, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

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

One-Stage Delayed Bladder Exstrophy Closure Combined With Kelly Repair: Early Outcomes Following the 100-Case

Hortense Alliot1,2, Sajid Sultan3, Alice Faure1,4

  • 1MARVU National Rare Diseases Reference Centre, France.

The Journal of Urology
|June 12, 2026
PubMed
Summary

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This summary is machine-generated.

Single-stage delayed closure for bladder/cloacal exstrophy using the Kelly procedure resulted in no bladder dehiscence. This effective technique showed low early complication rates, primarily wound-related issues.

Area of Science:

  • Pediatric Surgery
  • Urology
  • Congenital Abnormalities

Background:

  • Bladder exstrophy and cloacal exstrophy are complex congenital anomalies requiring specialized surgical management.
  • One-stage delayed closure aims to improve outcomes by allowing for growth and development before reconstruction.

Purpose of the Study:

  • To evaluate the incidence of bladder dehiscence after a one-stage delayed closure of bladder/cloacal exstrophy.
  • To assess early complications associated with this surgical approach, combining bladder plate closure with the Kelly procedure.

Main Methods:

  • A multicenter retrospective study included 123 children with bladder or cloacal exstrophy undergoing single-stage closure with Kelly mobilization.
  • The primary endpoint was bladder dehiscence within 3 months post-surgery; secondary endpoints included early complications.
Keywords:
Kellybladder exstrophysoft-tissue mobilization

Related Experiment Videos

Last Updated: Jun 14, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

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

  • Outcomes were analyzed for primary repairs and complex cases, with a median follow-up of 54 months.

    • Main Results:

    • No cases of bladder dehiscence were observed in the 123 patients.
    • Early complications occurred in 19% of patients, predominantly wound-related (12%) and urinary fistulas (7%).
    • Abdominal closure using rectus abdominis muscle transposition was identified as an independent risk factor for wound complications (OR 4.47, p=0.02).

    Conclusions:

    • Single-stage delayed closure combined with Kelly mobilization provides reliable bladder closure for bladder/cloacal exstrophy with no early dehiscence.
    • The overall early morbidity rate was less than 20%, with most complications being low-grade.
    • For challenging pubic approximations, osteotomies or fascial flaps may yield better early parietal outcomes than rectus muscle transposition.