Habal M B, Vries J K
Surg Neurol. 1977 Sep;8(3):177-80.
A technique for closing large meningomyelocele defects without tension has recently been developed by the authors. The technique utilizes bilateral bipedicle flaps developed from verticle flank incisions. The bipedicle flaps are advanced medially and approximated in the midline. The lateral defects created by this maneuver are closed transversely. The outer margins of the bipedicle flaps are left free until the flaps become adherent to the underlying tissue. This technique has been used in the repair of 12 large meningomyeloceles. The width of the average lesion was 6-7 centimeters, the largest lesion was 11 centimeters. In each case the width of the lesion exceeded one-half the width of the back. In all cases a tension free closure was achieved. There were no significant wound complications. The use of this technique has greatly facilitated the treatment of children with large meningomyelocele defects.
作者最近开发了一种无张力闭合大型脊髓脊膜膨出缺损的技术。该技术利用从垂直侧腹切口形成的双侧双蒂皮瓣。双蒂皮瓣向内侧推进并在中线处对合。此操作造成的外侧缺损横向闭合。双蒂皮瓣的外缘保持游离，直到皮瓣与下方组织粘连。该技术已用于修复12例大型脊髓脊膜膨出。平均病变宽度为6 - 7厘米，最大病变为11厘米。在每种情况下，病变宽度均超过背部宽度的一半。所有病例均实现了无张力闭合。无明显伤口并发症。该技术的应用极大地促进了患有大型脊髓脊膜膨出缺损儿童的治疗。
