Department of Surgery (Plastic and Reconstructive Surgery Unit), Faculty of Medicine, Zagazig University, Zagazig City, Sharkia Governerate, Egypt.
J Plast Reconstr Aesthet Surg. 2010 Sep;63(9):1513-8. doi: 10.1016/j.bjps.2009.08.001. Epub 2009 Sep 1.
Soft-tissue coverage of large myelomeningocele defects is a major surgical challenge that requires close co-operation between neurosurgeons and plastic surgeons to achieve adequate, durable and tension-free coverage of the neural tube. This study was conducted in Zagazig university hospitals on 11 infants, born with large thoracolumbar myelomeningocele defects, presented from June 2004 to February 2007. These defects were reconstructed by using reversed turnover latissimus dorsi muscle flap covered by split-thickness skin graft. The infants were between the ages of 2 and 5 days at the time of surgery and were followed up for 6-12 months postoperatively. All patients tolerated the procedure without major complications. This method provides a tension-free, stable and durable soft-tissue coverage with well-vascularised tissue over the dural repair.
大型脊髓脊膜膨出缺陷的软组织覆盖是一项重大的外科挑战，需要神经外科医生和整形外科医生密切合作，以实现对神经管的充分、持久和无张力覆盖。这项研究是在 Zagazig 大学医院进行的，共纳入了 11 名婴儿，他们出生时患有大型胸腰椎脊髓脊膜膨出缺陷，于 2004 年 6 月至 2007 年 2 月就诊。这些缺陷通过使用翻转式背阔肌皮瓣覆盖断层皮片来重建。手术时婴儿的年龄在 2 至 5 天之间，术后随访 6 至 12 个月。所有患者均耐受手术，无重大并发症。这种方法提供了一种无张力、稳定和持久的软组织覆盖，并用血运良好的组织覆盖硬脑膜修复。
