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Wound Closure in Large Neural Tube Defects: Role of Rhomboid Flaps.
Digamber Chaubey1, Vijayendra Kumar1, Vinit K Thakur1
1Department of Paediatric Surgery, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
Journal of Cutaneous and Aesthetic Surgery
|August 16, 2019
Summary
Wound size and shape guide surgical closure for neural tube defects. Rhomboid flaps offer an aesthetic solution for large defects, while primary closure suits smaller ones.
Area of Science:
- Pediatric Surgery
- Wound Healing
- Plastic Surgery
Background:
- Large surgical wounds in neural tube defect (NTD) cases pose closure challenges.
- Wound characteristics like position and dimension are crucial for surgical planning.
Purpose of the Study:
- To investigate how wound dimensions influence the selection between primary closure and rhomboid flap techniques for NTD surgical defects.
Main Methods:
- Retrospective analysis of 114 NTD patients operated between January 2015 and December 2017.
- Data collected included wound dimensions, location, bony deformity, closure method, and complications.
Main Results:
- 86/114 wounds underwent primary closure; 28/114 required rhomboid flaps.
- Wound axis ratios differed significantly between primary closure (>1.65 or <0.63) and rhomboid flaps (mean 1.25).
- Bony deformities and rachischisis defects necessitated flap closure.
Conclusions:
- Wound characteristics (position, size, shape) and bony deformity dictate closure strategy for NTD defects.
- Rhomboid flaps provide a versatile and aesthetic option for large NTD-related skin defects.
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