Meningocele, Meningomyelocele
Conditions
Keywords
Reconstructive Surgical Procedures / adverse effects, Meningomyelocele / surgery
Brief summary
To evaluate reliability of free style propeller perforator flap for coverage MMC soft tissue defect follow a well-established step that overcome the usual problem of pedicled perforators propellers flaps.
Detailed description
Meningomyelocele is a serious congenital birth defect that not only affect mortality and morbidity of neonate but also a lifelong health problem. The estimated incidence of spina bifida is 1-2 cases per 1000 population. Meningomylocele soft tissue defect reconstruction is considered a lifesaving procedure , the ideal coverage technique should be time limited , reliable and allow healing line to be away from repair of the dura . all of these criteria are available in the selection of free style propeller perforator flap as a method of reconstruction.
Interventions
Freestyle pedicled perforators propellers flaps for meningomyelocele defects reconstruction with sequential advance in perforators dissection, large number cases, and detailed successful technique.
Sponsors
Study design
Eligibility
Inclusion criteria
* All cases with dorsolumbar meningomyelocele and age up to 6 months
Exclusion criteria
* Infants older than 6 months * concomitant congenital anomalies * concomitant spinal kyphosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pedicle dissection beyond the muscle | Time of procedure | Compare the number of pedicle dissection beyond the muscle in each group. |
| Feasibility of reconstruction technique | Time of procedure | Measure the average operative time in minutes in each arm. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Meningomyelocele Repair Dehiscence and/or CSF leak | Time of procedure | Compare the number of each complication in each arm |
Countries
Egypt