Complications of myelomeningocele closure

摘要: Closure of a myelomeningocele is deceptively simple operation; however, attention to several subtle details can significantly reduce operative complications. Important preoperative concerns include social issues dealing with distraught and often overwhelmed family, the timing surgery, assessment associated severe or life-threatening malformations. Operative intervention should be directed toward preserving neurological function optimizing subsequent repair tethered spine this become necessary. Careful vascular supply placode, precise separation neural from cutaneous tissues, diligent search for tethering anomalies such as diastematomyelia thickened filum terminale, careful pia reconstruction but meticulous wound closure all help in achieving these aims. The timely management hydrocephalus will avoid cerebrospinal fluid leakage breakdown. Close ameliorate many immediate delayed complications closure.