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논문 기본 정보

자료유형
학술저널
저자정보
Shim, Jung-Hwan (Department of Plastic and Reconstructive Surgery, Korea University College of Medicine) Hwang, Na-Hyun (Department of Plastic and Reconstructive Surgery, Korea University College of Medicine) Yoon, Eul-Sik (Department of Plastic and Reconstructive Surgery, Korea University College of Medicine) Dhong, Eun-Sang (Department of Plastic and Reconstructive Surgery, Korea University College of Medicine) Kim, Deok-Woo (Department of Plastic and Reconstructive Surgery, Korea University College of Medicine) Kim, Sang-Dae (Department of Neurosurgery, Korea University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제43권 제1호
발행연도
2016.1
수록면
26 - 31 (6page)

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Background The global prevalence of myelomeningocele has been reported to be 0.8-1 per 1,000 live births. Early closure of the defect is considered to be the standard of care. Various surgical methods have been reported, such as primary skin closure, local skin flaps, musculocutaneous flaps, and skin grafts. The aim of this study was to describe the clinical characteristics of myelomeningocele defects and present the surgical outcomes of recent cases of myelomeningocele at our institution. Methods Patients who underwent surgical closure of myelomeningocele at our institution from January 2004 to December 2013 were included in this study. A retrospective chart review of their medical records was performed, and comorbidities, defect size, location, surgical procedures, complications, and the final results were analyzed. Results A total of 14 patients underwent surgical closure for myelomeningocele defects. Twelve cases were closed with direct skin repair, while two cases required local skin flaps to cover the skin defects. Three cases of infection occurred, requiring incision and either drainage or removal of allogenic materials. One case of partial flap necrosis occurred, requiring secondary revision using a rotational flap and a full-thickness skin graft. Despite these complications, all wounds eventually healed completely. Conclusions Most myelomeningocele defects can be managed by direct skin repair alone. In cases of large defects, in which direct repair is not possible, local flaps may be used to cover the defect. Complications such as wound dehiscence and partial flap necrosis occurred in this study; however, all such complications were successfully managed with simple ancillary procedures.
#Myelomeningocele #Surgical flap #Wound closure techniques

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참고문헌 (23)

참고문헌 신청
Wallingford JB / 2005 / Neural tube closure and neural tube defects:studies in animal models reveal known knowns and known unknowns / Am J Med Genet C Semin Med Genet 135C:59~68 google schola Scheflan M / 1984 / Meningomyelocele closure with distally based latissimus dorsi flap / Plast Reconstr Surg 73:956~959 google schola Botto LD / 1999 / Neural-tube defects / N Engl J Med 341:1509~1519 google schola Greenberg F / 1983 / Estimates of birth prevalence rates of spina bifida in the United States from computer-generated maps / Am J Obstet Gynecol 145:570~573 google schola Lapid O / 2001 / Meningomyelocele reconstruction with bilobed flaps / Br J Plast Surg 54:570~572 google schola

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