J Reconstr Microsurg 2011; 27(5): 287-294
DOI: 10.1055/s-0031-1275492
© Thieme Medical Publishers

Closure of Large Myelomeningocele by Lumbar Artery Perforator Flaps

Ahmed Hassan El-Sabbagh1 , Ashraf Shaker Zidan2
  • 1Department of Plastic Surgery, Mansoura University Hospital, Mansoura University, Mansoura, Dakahlia, Egypt
  • 2Department of Neurosurgery, Mansoura University Hospital, Mansoura University, Mansoura, Dakahlia, Egypt
Further Information

Publication History

Publication Date:
24 March 2011 (online)

ABSTRACT

Myelomeningocele is the most complex congenital malformation of the central nervous system that is compatible with life. Different closure techniques are available for defect reconstruction, but wound healing and tension-free closure of the skin in the midline remain major considerations in large myelomeningoceles. In this study, bilateral lumbar artery perforator flaps were used for closure of large myelomeningocele defects. Fifteen infants and neonates with large myelomeningocele defects were enrolled in the study. The lumbar artery perforator flaps were elevated bilaterally or unilaterally and advanced toward the midline without tension and were sutured together. Most of the flaps healed without any major complication. The lumbar artery perforator flaps as is an effective method for closure of large myelomeningocele defects.

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Ahmed Hassan El-SabbaghM.D. 

Department of Plastic Surgery, Mansoura University Hospital, Faculty of Medicine Plastic Surgery Department

Mansoura University, Mansoura, Dakahlia 35516, Egypt

Email: elsabbagh17@hotmail.com