METHOD OF TREATING CONGENITAL ABNORMAL DEVELOPMENT OF PELVIC RING ACCOMPANYING BLADDER EXTROPHY

摘要

FIELD: medicine.;SUBSTANCE: markers - injection needles - are inserted in projection of sacroiliac joints in the longitudinal direction. After an X-ray inspection, an osteoperforation of external cortical plates is performed from one or two punctures at 5 mm in the lateral direction from the sacroiliac joints and in parallel; the perforation openings make a single line. The markers are removed. Flexibility of the pelvic halves is controlled when bringing the anterior pelvic ring together and providing its symmetry; an aseptic bandage is applied; the patient is laid on his/her back with a cushion placed under his/her lower back. Three rods directed towards S2, S3 spines are inserted into an iliac body at a depth of 4-5 cm; the first rod is inserted into the area of an anterior superior iliac spine; the other two - at 1.5-2 cm and 3-4 cm in the proximal direction respectively. The apparatus is assembled on semi-ring supports and connected by threaded rods arranged in front of the pelvis in the horizontal plane, in parallel at 3-5 cm from each other. A dynamic compression follows by approximating the supports along the rods. Once a pubic bone space reaches 2-2.5 cm, and soft tissue tension in this area decreases, after performing a repair of the anterior wall of the bladder and the anterior abdominal wall, the pubic bones are brought together completely under visual control; the apparatus is stabilised; the wound is sutured.;EFFECT: method ensures reducing the length of treatment and the risk of pelvic girdle dysfunction.;1 ex, 10 dwg