Closure of Myelomeningocele Defects Using a Limberg Flap or Direct Repair
Archives of Plastic Surgery
; : 26-31, 2016.
Article
ي En
| WPRIM
| ID: wpr-31014
المكتبة المسؤولة:
WPRO
ABSTRACT
BACKGROUND: The global prevalence of myelomeningocele has been reported to be 0.8-1 per 1,000 live births. Early closure of the defect is considered to be the standard of care. Various surgical methods have been reported, such as primary skin closure, local skin flaps, musculocutaneous flaps, and skin grafts. The aim of this study was to describe the clinical characteristics of myelomeningocele defects and present the surgical outcomes of recent cases of myelomeningocele at our institution. METHODS: Patients who underwent surgical closure of myelomeningocele at our institution from January 2004 to December 2013 were included in this study. A retrospective chart review of their medical records was performed, and comorbidities, defect size, location, surgical procedures, complications, and the final results were analyzed. RESULTS: A total of 14 patients underwent surgical closure for myelomeningocele defects. Twelve cases were closed with direct skin repair, while two cases required local skin flaps to cover the skin defects. Three cases of infection occurred, requiring incision and either drainage or removal of allogenic materials. One case of partial flap necrosis occurred, requiring secondary revision using a rotational flap and a full-thickness skin graft. Despite these complications, all wounds eventually healed completely. CONCLUSIONS: Most myelomeningocele defects can be managed by direct skin repair alone. In cases of large defects, in which direct repair is not possible, local flaps may be used to cover the defect. Complications such as wound dehiscence and partial flap necrosis occurred in this study; however, all such complications were successfully managed with simple ancillary procedures.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Skin
/
Surgical Flaps
/
Wounds and Injuries
/
Comorbidity
/
Drainage
/
Medical Records
/
Prevalence
/
Retrospective Studies
/
Meningomyelocele
/
Transplants
نوع الدراسة:
Observational_studies
/
Prevalence_studies
المحددات:
Humans
اللغة:
En
مجلة:
Archives of Plastic Surgery
السنة:
2016
نوع:
Article