Primary closure of large thoracolumbar myelomeningocele with bilateral latissimus dorsi flaps.

摘要: Object Myelomeningocele (MMC) is the most complex congenital malformation of CNS that compatible with life. Different closure techniques are available for defect reconstruction, but wound healing and tension-free skin in midline remain major considerations large MMCs. In this study, authors used bilateral proximally based latissimus dorsi (LD) island muscle pedicle flaps thoracolumbar MMC defects. Methods Twenty infants very MMCs were enrolled study. The mean age patients was 4.1 ± 2.3 months. width 6 1.2 cm. At operation, 2 triangular V-Y designed on each side defect; tip triangle extended to posterior axillary line. LD thoracodorsal arteries elevated bilaterally advanced toward moderate tension sutured together. Postoperatively, positioned prone 7 days discharged 8th ...