Rectus Muscle Flap-augmented Closures in Wide-gap Exstrophy Bladder.

Background: Wound dehiscence is one of the main complications in complete primary repair of exstrophy (CPRE). In our pediatric urology unit, we have switched to the use of inferior epigastric artery based rectus abdominis flap cover for abdominal wall closure in addition to measures like osteotomy and postoperative hip spica.

Aim: to assess the efficacy of Recus abdominis flap in prevenion of wound dehisence.