Cole Patrick, Armenta Arturo, Dauser Robert, Hollier Larry
Department of Plastic Surgery, Baylor College of Medicine, Houston, Texas 77030-2399, USA.
J Plast Reconstr Aesthet Surg. 2008;61(2):192-4. doi: 10.1016/j.bjps.2007.07.006. Epub 2007 Aug 27.
The surgical management of large neural tube defects not amenable to primary closure poses a significant challenge. As a result, large residual skin defects often prompt excessively aggressive primary closure, complicated skin incisions, or flap advancements. However, our experience with the purse-string closure of a large meningomyelocele skin defect demonstrates that this technique can effectively provide coverage of very large meningomyelocele defects with minimal residual deformity. Here, we discuss the successful coverage of a large 5 x 5 cm meningomyelocele skin wound via staged purse-string closure spaced 2 weeks apart.
对于无法进行一期缝合的大型神经管缺陷，手术治疗是一项重大挑战。因此，大面积的皮肤缺损常常促使人们进行过度激进的一期缝合、复杂的皮肤切口或皮瓣推进。然而，我们对大型脊髓脊膜膨出皮肤缺损采用荷包缝合的经验表明，该技术能够以最小的残余畸形有效覆盖非常大的脊髓脊膜膨出缺损。在此，我们讨论通过间隔两周分阶段进行荷包缝合成功覆盖一个5×5厘米的大型脊髓脊膜膨出皮肤伤口的情况。
