Cuidados enfermeros en la extrofia vesical neonatal

  1. Fernández Tuñas, Mª del Carmen
  2. Turnes Paredes, Margarita
  3. Ces Tarrío, Mª del Carmen
  4. Couce Pico, María Luz
  5. Pérez Muñuzurri, Alejandro
Journal:
Metas de enfermería

ISSN: 1138-7262

Year of publication: 2014

Volume: 17

Issue: 9

Type: Article

DIALNET GOOGLE SCHOLAR

More publications in: Metas de enfermería

Abstract

Vesical Exstrophy (VE) is a rare congenital alteration which consists in the protrusion of the bladder through the abdominal wall, and it requires a complex and fast surgical intervention, often by a multidisciplinary team. This is a rare disease, which appears in one out of 35,000-40,000 newborns, and it is more frequent in males. Even though its etiology is not very well defined, there seems to be a genetic predisposition. It occurs due to a defect of migration in the infraumbilical mesenchyma cells, which will lead to the formation of the lower abdominal wall, genital tubercles and pubic branches. The treatment for VE is surgical, and often in various stages. One of the problems in these patients is sphincter control, once they have undergone surgery. Children who undergo reconstructive surgery at the time of birth will achieve better results regarding urinary incontinence, which is one of the great problems. Nursing care before and after surgery is very important for the recovery of these patients, because they must remain immobile during several days in order to achieve an adequate bladder closure.

Bibliographic References

  • 1. Rovira J, García-Aparicio L. Patología Genitourinaria. Malformaciones uronefrológicas. En: Cruz M. Tratado de Pediatría. 11ª ed. Madrid: Aso- ciación Española de Pediatría; 2014.
  • 2. Elder JS. Trastornos urológicos en lactantes y niños. En: Nelson. Tratado de Pediatría. 18ª ed. Madrid: Elsevier; 2013.
  • 3. Bernhardt J. Trastornos de riñones y vías genitourinarias. En: Cuidados Intensivos de Enfermería en Neonatos. 2ª ed. México: Mc Graw-Hill/ Interamericana; 2001.
  • 4. Reutter H, Saphiro E, Gruen JR. Seven new cases of familial isolated bladder exstrophy and epispadias complex (BEEC) and review of the literature. Am J Med Genet A 2003 Jul 15; 120A(2):215-221.
  • 5. Ludwing M, Rüschendorf F, Saar K, Hübner N, Siekmann L, Boyadjiev SA, Reutter H. Genome-wide linkage scan for bladder exstrophy-epis- padias complex. Birth Defects Res A Clin Mol Teratol 2009; 85(2):174-178.
  • 6. Lechuga Sancho AM, Hernández Serrano M, González Casado I, Gracia Bouthlier R. Recién nacido con extrofia vesical y posible exposición intrauterina a finasterida. An Pediatr (Barcelona) 2004; 61: 451-453.
  • 7. Castillo González JM, Navarrete-Salinas E, Castillo Chavira G, Aragón-Tovar AR, Camacho Trejo VF. Extrofia vesical, reporte de un caso. Rev Mex Urol 2008; 68 (6):354-358.
  • 8. Mittchel ME. Bladder Exstrophy repair: complete primary repair of exstrophy. Urology 2005; 65:5-8.
  • 9. GayleTart D. Alteraciones fisiológicas en el neonato. En: Enfermería Materno-Infantil. 6ª ed. Barcelona: Harcourt Brace; 1998. p. 1084-2011.
  • 10. De La Peña E, Hidalgo J, Caffaratti J, Garat JM, Villavicencio H. Tratamiento quirúrgico del complejo extrofia-epispadias. Revisión y conceptos actuales. Actas Urol Esp 2003; 27(6):450-457.
Data source: Dialnet