ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2022
Closure of a large lumbosacral myelomeningocele defect with a human pericardial graft: a case report.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Tethered cord syndrome in patients with myelomeningocele: Presentation of 3 cases, technical note on re-anchoring without dural opening.Surgical neurology international · 2025Article
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Abstract
introductionMyelomeningocele (MMC) is a complex congenital defect resulting from incomplete closure of the neural tube. The aim of this study is to present an unusual technique for the closure of a large defect. CASE REPORT: Here we report a patient that was prenatally diagnosed with MMC. At birth, a skin defect of approximately 5 x 7 cm was observed. To repair the defect, a Z-plasty was performed; however, necrosis of the flap developed 3 days after the surgery. The devitalized tissue was removed, and a human pericardial graft was used to cover the defect. DISCUSSION: Different techniques have been described for the repair of MMC with a large skin defect, such as rotation skin flaps as well as synthetic and biological grafts. In our patient, a new technique without prior experience consisting of the application of human cadaveric pericardial graft was used with good results and no complications.
conclusionClosure of MMC is often a surgical challenge. Here we describe a surgical technique for the closure of large skin defects.
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