alexa OUTCOME OF SURGICAL RECONSTRUCTIONOF MYELOMENINGOCELE DEFECTS – A STUDYOF 25 PATIENTS
Surgery

Surgery

Surgery: Current Research

Author(s): MUHAMMAD HAMID ALI

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OBJECTIVE: To evaluate the outcome of various reconstructive procedures performed for reconstruction of myelomeningocele defects. METHODOLOGY: This prospective descriptive study was conducted at Departments of Neurosurgery and Plastic & Reconstructive Surgery, Liaquat University Hospital, Jamshorobetween June 2008 and May 2009. A total of 25 newborns admitted with myelomeningoceleduring the study period and repaired with various local flaps and skin grafting wereincluded in this study. RESULTS: Out of Twenty five patients, 12 (48%) were males and 13 (52%) were females,age ranged from 1-48 months. Fifteen patients (60%) had defect in thoracolumbar region; ten patients (40%) had defects in lumbosacral region. ventriculoperitoneal shunts for hydrocephalus was placed in 8 patients (32%). Primary closure of defect was performed in 4 patients (16%), 3 patients (12%) were treated with rhomboid flap, Limberg flap was used to cover defects of 2 patients (8%), Lumber flap was used in 3 patients (12%), hatchet flap was used to close the defect of one patient (4%), doublereverse flap was used to cover the defect in 5 patients (20%) and split thickness skingrafting was used in large defects of 7 patients (28%). CONCLUSION: Skin grafting is a excellent choice for treatment of wounds where thedefect size is huge because there is diminutive morbidity associated with this method,local flaps are fine option for coverage but care should be taken to keep the suture lineaway from dural repair line to avoid dehiscence

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This article was published in RECONSTRUCTIVE SURGERY and referenced in Surgery: Current Research

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