Reconstruction of large meningomyelocele defects with rotation- transposition fasciocutaneous flaps

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dc.contributor.authorSelçuk, Caferi Tayyar
dc.contributor.authorCivelek, Birol
dc.contributor.authorBozkurt, Mehmet
dc.contributor.authorKapı, Emin
dc.contributor.authorKuvat, Samet Vasfi
dc.date.accessioned2024-04-24T17:56:24Z
dc.date.available2024-04-24T17:56:24Z
dc.date.issued2012
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Plastik Cerrahi Ana Bilim Dalıen_US
dc.description.abstractMeningomyelocele is one of the most common congenital defects of the central nervous system. Reconstruction of these defects must be performed immediately after delivery to prevent complications such as primary meningitis and to protect the neural tissues. The most important factors in the surgical treatment of meningomyelocele defects are the size of the defect, its location, the presence of kyphosis, and the quality of the surrounding tissue. The chosen method must be a simple one that causes minimal blood loss, requires a short duration of surgery, and covers the surface of the neural defect with a soft-tissue mass enabling closure without tension. In our study, satisfactory results have been obtained using 1 or 2 fasciocutaneous flaps based on the midline in 20 patients with large meningomyelocele defects where primary closure was not possible. A single flap based superiorly on the midline was sufficient to close the defects in patients without kyphosis. In patients with concurrent kyphosis, a second flap based inferiorly on the midline has been used. All flaps survived, except for a distal partial necrosis observed in 1 patient. In the method we used, we adopted a defect reconstruction that is similar to the normal anatomic structures and resistant to trauma and infections, and does not sacrifice any muscle tissue. According to our clinical experiences, this method is useful for large meningomyelocele defects that are unsuitable for primary closure.en_US
dc.identifier.citationSelçuk, C. T., Civelek, B., Bozkurt, M. ve Kuvat, S. V. (2012). Reconstruction of large meningomyelocele defects with rotation- transposition fasciocutaneous flaps. Annals of Plastic Surgery, 69(2), 197-202.
dc.identifier.doi10.1097/SAP.0b013e31822592c4
dc.identifier.endpage202en_US
dc.identifier.issn0148-7043
dc.identifier.issue2en_US
dc.identifier.pmid21734541
dc.identifier.scopus2-s2.0-84863987699
dc.identifier.scopusqualityQ2
dc.identifier.startpage197en_US
dc.identifier.urihttps://doi.org/10.1097/SAP.0b013e31822592c4
dc.identifier.urihttps://hdl.handle.net/11468/23490
dc.identifier.volume69en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.relation.ispartofAnnals of Plastic Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMeningomyeloceleen_US
dc.subjectRotation-transposition flapen_US
dc.titleReconstruction of large meningomyelocele defects with rotation- transposition fasciocutaneous flapsen_US
dc.titleReconstruction of large meningomyelocele defects with rotation- transposition fasciocutaneous flaps
dc.typeArticleen_US

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