A comparison of techniques for myelomeningocele defect closure in the neonatal period.

摘要: Numerous techniques have been described for repair of myelomeningoceles, but outcome data is scarce. A retrospective review was performed in 32 consecutive patients who underwent neonatal myelomeningocele and extra-dural closure to determine the influence type on outcome. All procedures were classified into one three groups, which included primary closure, myocutaneous flaps, fasciocutaneous flaps. Defect size ranged from 1 48 cm2. Primary skin 3 patients, flaps 13 16 patients. The overall complication rate 18 %. No difference rates among myocutaneous, flap groups observed our analysis. While not statistically significant, documents an association with postoperative complications that evident or (odds ratio 3.8; p = 0.15). occurrence more associated a longer hospital stay. Myocutaneous provide secure should be considered smaller defects addition larger where they are traditionally used. We propose tissue-based classification strictly multi-institution comparison may ultimately inform clinical decision-making.