Lehrman A, Owen M P
Ann Plast Surg. 1984 Jun;12(6):501-7. doi: 10.1097/00000637-198406000-00002.
Successful repair of 8 large meningomyeloceles is reported. Because these defects varied in size, shape, and location, no single procedure applied to all. Advancement flaps and both vertical and horizontal bipedicle flaps were used successfully. The latissimus dorsi and gluteus maximus muscles have been used as paired flaps. All four muscles can be mobilized simultaneously. Muscle flaps are preferable to skin flaps when feasible. The sac remnant is also available to contribute to closure when all else fails. Embryology and pathological anatomy are reviewed.
报告了8例大型脊髓脊膜膨出的成功修复。由于这些缺损在大小、形状和位置上各不相同，没有一种单一的手术方法适用于所有病例。推进皮瓣以及垂直和水平双蒂皮瓣均成功应用。背阔肌和臀大肌已被用作成对皮瓣。所有四块肌肉都可以同时游离。在可行的情况下，肌皮瓣优于皮瓣。当其他方法都失败时，囊残余物也可用于协助闭合。本文回顾了胚胎学和病理解剖学。
