Wound closure in large neural tube defects: Role of rhomboid flaps

摘要: Background: Large wounds following surgery for neural tube defects are difficult to close; physical wound characteristics such as position and dimension would serve a guide their surgical closure. Aim: To study how determines the choice between primary rhomboid flap closure of skin defects. Materials And Methods: A retrospective was carried out on cases operated in department paediatric at tertiary center 3 years from January 2015 December 2017. Data regarding clinical features, location, dimensions surgery, any bony deformity, method used, distance anus, postoperative complications were collected analyzed. Results: total 114 during this period; 86/114 had closure, whereas 28/114 needed tension-free cover. Primarily closed biphasic distribution (long axis)/(short axis) ratio (with values either >1.65 or <0.63), those covered by flaps mean 1.25 (range, 0.71–1.45). All six with deformity flaps. Although all lipomeningomyelocele could be primarily closed, rachischisis Infected lesions 5.3cm posterior anal margin. Conclusion: Defect’s position, its size shape, determine wound. The versatile, safe, universal is an aesthetic solution large patients