Анатомические особенности порока, методы и результаты первичного закрытия экстрофии мочевого пузыря. Обзор литературы

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Андрология и генитальная хирургия. 2022; 23: 55-63

Анатомические особенности порока, методы и результаты первичного закрытия экстрофии мочевого пузыря. Обзор литературы

Рудин А. Ю., Рудин Ю. Э., Соколов Ю. Ю.

https://doi.org/10.17650/2070-9781-2022-23-4-55-63

Аннотация

Введение. Экстрофия мочевого пузыря (ЭМП) – сложный сочетанный порок развития органов мочеполовой системы, методы лечения которого до конца не разработаны.

Материалы и методы. При написании обзора литературы были использованы материалы, посвященные проблеме ЭМП, найденные в базах данных PubMed, еLIBRARY (российская научная электронная библиотека), Scopus, Medline, EMBASE, на веб-сайтах и в журналах зарубежных и отечественных профессиональных ассоциаций.

Результаты. Множественные анатомические особенности строения органов и целых систем делают ЭМП одним из самых сложнокорригируемых врожденных пороков в области детской урологии, требующих комплексного, системного подхода к диагностике и лечению. В работе отражены ключевые, по нашему мнению, аспекты авторских операций Kelly, Mainz, подходов Schrott–Erlangen, CPRE, MSRE, а также взгляды ряда авторов на остеотомию.

Заключение. Изобилие техник первичного закрытия ЭМП и различия во взглядах многих авторов на необходимый объем оперативного вмешательства, представленные в данном обзоре литературы, являются неоспоримым доказательством актуальности проблемы.

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Andrology and Genital Surgery. 2022; 23: 55-63

Anatomical features of the malformation, methods and results of bladder exstrophy primary closure. Literature review

Rudin A. Yu., Rudin Yu. E., Sokolov Yu. Yu.

https://doi.org/10.17650/2070-9781-2022-23-4-55-63

Abstract

Background. Bladder exstrophy (ВE) is a complex combined malformation of the organs of the genitourinary system, the methods of treatment of which have not been fully developed.

Materials and methods. When writing a literature review, materials devoted to the problem of BE published in the databases of PubMed, eLIBRARY (the scientific electronic library of Russia), Scopus, Medline, EMBASE, websites and journals of foreign and domestic professional associations were used.

Results. Multiple anatomical features of the structure of organs and entire systems make BE one of the most difficult-to-correct congenital malformations in the field of pediatric urology, requiring a comprehensive, systematic approach to diagnosis and treatment. The paper reflects the key, in our opinion, positions of the author’s Kelly, Mainz operations, the approaches of Schrott–Erlangen, CPRE, MSRE, as well as the view of a number of authors on osteotomy.

Conclusion. The abundance of primary closure techniques and the difference in views of numerous authors on the required amount ofsurgical intervention presented in thisliterature review are indisputable proof ofthe relevance ofthe problem.

References