Contemporary postnatal plastic surgical management of meningomyelocele.

摘要: Summary Background The goals of this study were to review the outcome surgical procedure and hospitalization associated with meningomyelocele repair, examine results different closure strategies. Methods Eighty-three consecutive patients having surgery for over a ten year period form basis study. Thirty-two closures mean defect size preoperatively 11.5 cm 2 performed by neurosurgeon (ADP), fifty-one 28.4 cm plastic surgeon (MFA). Results Defects up 12 cm closed local advancement fasciocutaneous flaps. As increased, latissimus muscle flaps added in 30 (36%) gluteus 16 (19%). In recent years, 18 (21.6%) 29 cm treated overlapping deepithelialized add an additional layer coverage dural closure. There 9 major complications, 6 requiring reoperation. 10 minor wound failures managed conservatively. Mean hospital stay was 24.2 days. Re-operation increased length 45 days ( p Conclusions Location thoracic area predicts failure need Wound complications significantly increase stay. use variety techniques achieve multi-layered leads durable defects all sizes.