Moss Bros. Perform Life Changing Surgery on Another Iraqi Child

July 22, 2009 by admin  
Filed under Uncategorized

A moment in the OR just before the operation

A moment just before the big " O "!

Vance is steadily becoming known as one of the leading urologic reconstructive surgeons in the world.  He has performed  some of the most complex urologic procedures that one can immagine.  To make matters even more complex, he does these delicate operations on children which makes the procedure that  more difficult.  As he and his brother have gained world wide acclaim for their humanitarian work, patients from all over the world come to them for help.

With the help from his brother Vince, who is a Cardiothoracic surgeon, Vance performed a life changing procedure for a child from Iraq who’s bladder is congenitally located outside of his body subjecting him to a lifetime of leaking urine all over his perineum.  The operation was done on 7/21/09 at Kimbal Medical Center, Lakewood, NJ.  Images from that historic day can be scene in the ” photos” section of the website – ENJOY!

Bladder exstrophy, more properly, the exstrophy-epispadias complex is a rare congenital anomality occurring once every 40,000-50,000 live births with a 2:1 male:female ratio. The diagnosis involves a spectrum of anomalies of the lower abdominal wall, bladder, anterior bony pelvis, and external genitalia. It occurs due to failure of the abdominal wall to close during fetal development and results in protrusion of the posterior bladder wall through the lower abdominal wall.

Treatment is with surgical correction of the defect, but patients can still have long term issues with urinary tract infections and sexual dysfunction.


Definition of Bladder exstrophy repair:

Bladder exstrophy repair is surgery to repair a birth defect in which the bladder is inside out and sticks out of the abdominal wall. The pelvic bones are also separated.

twins were able to reconstruct his urologic system in a 4 hour operation  which allows him to urinate normally.  Also, because of the repair and reconstruction, it has allowed him the opportunity to bare children in the future.

The Moss Bros were very thankful to the many nurses and administators who allowed this day to happen for this young boy from Iraq.


Gearhart JP, Mathews R. Exstrophy-Epispadias Complex. In: Wein AJ, ed. Wein: Campbell-Walsh U. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 119.


Hammer G, Hall S, Davis PJ. Anesthesia for general abdominal, thoracic, urologic, and ba

riatric surgery. In: Motoyama E, Davis P, eds. Smith’s Anesthesia for Infants and Children. 7th ed. Philadelphia, Pa: Mosby Saunders Elsevier; 2005:chap 19.


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