Bilateral split latissimus dorsi V-Y flaps for closure of large thoracolumbar meningomyelocele defects

Closure of large meningomyelocele wounds and defects always requires durable and safe coverage of the dural repair. A new technical method for the reconstruction of large thoracolumbar meningomyelocele defects is described in which bilateral musculocutaneous flaps are advanced and transposed mediall...

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Bibliographic Details
Published in:British journal of plastic surgery 2003-04, Vol.56 (3), p.303-306
Main Authors: Sarifakioglu, Nedim, Bingül, Ferruh, Terzioglu, Ahmet, Ates, Levent, Aslan, Gürcan
Format: Article
Language:English
Subjects:
Female
Humans
Infant
Kyphosis - surgery
Meningomyelocele - surgery
Surgical Flaps
Treatment Outcome
Wound Healing
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Summary:Closure of large meningomyelocele wounds and defects always requires durable and safe coverage of the dural repair. A new technical method for the reconstruction of large thoracolumbar meningomyelocele defects is described in which bilateral musculocutaneous flaps are advanced and transposed medially in a V-Y sliding manner, based on the thoracolumbar perforatiors of the latissimus dorsi. This procedure provides a reliable, well-vascularized soft tissue coverage over the neural repair with minimum donor-site morbidity. Additionally, this method is particularly appropriate to the thoracolumbar area, as it preserves the lateral adjacent regions of the defect, for later alternative and/or reconstructive options.
ISSN:0007-1226
DOI:10.1016/s0007-1226(03)00115-2