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Fasciocutaneous Flap Reconstruction after Repair of Meningomyelocele: Technique and Outcome

Jabaiti, Samir; Al-Zaben, Khaled R.; Saleh, Qussay; Abou Alrob, Mohammad and Al-Shudifat, Abdulrahman LU (2015) In Pediatric Neurosurgery 50(6). p.344-349
Abstract
Aims: The objectives of this study are to describe our technique in meningomyelocele (MMC) repair, analyzing the results and complications, as well as to study the effect of delay in operation on the complication rate. Patients and Methods: Between March 1997 and October 2012, 48 patients with MMC were treated at Jordan University Hospital by a combined neurosurgical and plastic surgical team. Patients underwent neurosurgical repair of the neural elements and soft tissue reconstruction using local fasciocutaneous flaps. The patients were further divided into two subgroups (local or referrals from other hospitals). Results: Of all patients, 8 (16.6%) had postoperative complications. When the complication rate was compared between the two... (More)
Aims: The objectives of this study are to describe our technique in meningomyelocele (MMC) repair, analyzing the results and complications, as well as to study the effect of delay in operation on the complication rate. Patients and Methods: Between March 1997 and October 2012, 48 patients with MMC were treated at Jordan University Hospital by a combined neurosurgical and plastic surgical team. Patients underwent neurosurgical repair of the neural elements and soft tissue reconstruction using local fasciocutaneous flaps. The patients were further divided into two subgroups (local or referrals from other hospitals). Results: Of all patients, 8 (16.6%) had postoperative complications. When the complication rate was compared between the two groups, in the first group, who had early repair, only 2 out of 19 patients had complications (10.5%), while in the second group, with delayed operation, 6 out of 29 patients developed complications (20.7%). The follow-up of all patients showed that the soft tissue cover maintained good durability with no skin breakdown. Conclusion: We recommend early MMC repair using this rather simple method to provide a reliable soft tissue coverage. A combined approach by a neurosurgical and plastic surgical team in the management of this challenging neonatal emergency is appreciated. (C) 2015 S. Karger AG, Basel (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Meningomyelocele, Reconstruction, Surgical repair, Outcome
in
Pediatric Neurosurgery
volume
50
issue
6
pages
344 - 349
publisher
Karger
external identifiers
  • wos:000365670200008
  • scopus:84948712416
ISSN
1016-2291
DOI
10.1159/000439283
language
English
LU publication?
yes
id
e26b5518-b006-4a26-af0b-31d5eb00d185 (old id 8526013)
date added to LUP
2016-02-08 07:23:08
date last changed
2017-01-01 06:11:00
@article{e26b5518-b006-4a26-af0b-31d5eb00d185,
  abstract     = {Aims: The objectives of this study are to describe our technique in meningomyelocele (MMC) repair, analyzing the results and complications, as well as to study the effect of delay in operation on the complication rate. Patients and Methods: Between March 1997 and October 2012, 48 patients with MMC were treated at Jordan University Hospital by a combined neurosurgical and plastic surgical team. Patients underwent neurosurgical repair of the neural elements and soft tissue reconstruction using local fasciocutaneous flaps. The patients were further divided into two subgroups (local or referrals from other hospitals). Results: Of all patients, 8 (16.6%) had postoperative complications. When the complication rate was compared between the two groups, in the first group, who had early repair, only 2 out of 19 patients had complications (10.5%), while in the second group, with delayed operation, 6 out of 29 patients developed complications (20.7%). The follow-up of all patients showed that the soft tissue cover maintained good durability with no skin breakdown. Conclusion: We recommend early MMC repair using this rather simple method to provide a reliable soft tissue coverage. A combined approach by a neurosurgical and plastic surgical team in the management of this challenging neonatal emergency is appreciated. (C) 2015 S. Karger AG, Basel},
  author       = {Jabaiti, Samir and Al-Zaben, Khaled R. and Saleh, Qussay and Abou Alrob, Mohammad and Al-Shudifat, Abdulrahman},
  issn         = {1016-2291},
  keyword      = {Meningomyelocele,Reconstruction,Surgical repair,Outcome},
  language     = {eng},
  number       = {6},
  pages        = {344--349},
  publisher    = {Karger},
  series       = {Pediatric Neurosurgery},
  title        = {Fasciocutaneous Flap Reconstruction after Repair of Meningomyelocele: Technique and Outcome},
  url          = {http://dx.doi.org/10.1159/000439283},
  volume       = {50},
  year         = {2015},
}