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Meningomyelocele skin defects.

F Welsh, P S Bajaj, E A Shadid

    Southern Medical Journal
    |February 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Bilateral lumbar transposition flaps and skin grafts effectively closed meningomyelocele skin defects in infants. This surgical technique proved useful for defect coverage, with most repairs healing well.

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    Area of Science:

    • Pediatric Surgery
    • Dermatology
    • Congenital Abnormalities

    Background:

    • Meningomyelocele presents significant challenges for skin defect closure in newborns.
    • Effective surgical reconstruction is crucial for patient outcomes.

    Purpose of the Study:

    • To evaluate the efficacy of bilateral lumbar transposition flaps combined with split-thickness skin grafts for closing meningomyelocele skin defects.
    • To assess the healing process and outcomes in newborn infants undergoing this reconstructive procedure.

    Main Methods:

    • Ten newborn infants with meningomyelocele skin defects underwent surgical repair.
    • The surgical technique involved the use of bilateral lumbar transposition flaps and split-thickness skin grafts.

    Main Results:

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    • Eight out of ten repairs healed promptly and without complications.
    • One patient experienced flap superficial necrosis requiring subsequent skin grafting.
    • One patient demised from unrelated complications (pneumonia and sepsis) despite successful flap and graft healing.

    Conclusions:

    • Bilateral lumbar transposition flaps are a versatile and useful method for covering meningomyelocele skin defects, even when small.
    • The described surgical approach demonstrates a high success rate in achieving defect closure and promoting healing in this vulnerable patient population.