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Myofascial Closure of Intradural Inclusion Cysts following in utero Myelomeningocele Repair
- Source :
- Pediatric Neurosurgery. 50:286-290
- Publication Year :
- 2015
- Publisher :
- S. Karger AG, 2015.
-
Abstract
- Myelomeningocele is one of the most common congenital malformations. A randomized controlled trial, known as the Management of Myelomeningocele Study (MOMS), demonstrated that closure during the fetal period can be performed relatively safely and be of significant benefit to patients. However, postnatally, patients can develop resultant symptoms from a tethered cord and inclusion cysts; this often requires surgical treatment. Repeat surgery in this population can be challenging due to the age of the patients, the extent of surgical exposure needed and the need for resection of dermal and epidermal tissues in the midline. We describe our approach for closure of these complex defects using lateral fasciocutaneous flaps with relaxing incisions made in the posterior axillary line, in order to minimize tension and maximize soft tissue coverage of the midline.
- Subjects :
- medicine.medical_specialty
Meningomyelocele
medicine.medical_treatment
Epidermal Cyst
Population
Paraspinal Muscles
Axillary lines
Neurosurgical Procedures
law.invention
Postoperative Complications
Randomized controlled trial
Pregnancy
law
Humans
Medicine
Spinal Cord Neoplasms
education
Dermoid Cyst
Fetal Therapies
education.field_of_study
business.industry
Fetal surgery
Laminectomy
Lumbosacral Region
Infant
Soft tissue
General Medicine
medicine.disease
Surgery
Fetal Diseases
Dermoid cyst
In utero
Pediatrics, Perinatology and Child Health
Female
Neurology (clinical)
business
Subjects
Details
- ISSN :
- 14230305 and 10162291
- Volume :
- 50
- Database :
- OpenAIRE
- Journal :
- Pediatric Neurosurgery
- Accession number :
- edsair.doi.dedup.....8233800392660f3c58d7c32282cc9e44