Format

Send to

Choose Destination
See comment in PubMed Commons below
World Neurosurg. 2014 Feb;81(2):428-30. doi: 10.1016/j.wneu.2013.01.022. Epub 2013 Jan 8.

Delayed repair of myelomeningoceles.

Author information

1
Harold F. Young Neurosurgical Center, Department of Neurosurgery, Virginia Commonwealth University, Richmond, Virginia, USA. Electronic address: jwatson4@vcu.edu.
2
Harold F. Young Neurosurgical Center, Department of Neurosurgery, Virginia Commonwealth University, Richmond, Virginia, USA.

Abstract

OBJECTIVE:

Myelomeningocele is a defect that typically is repaired surgically within the first few days of life in developed countries to minimize the risk of meningitis. If left unrepaired, these children may survive to have their meningocele sac epithelialize. The surgical reduction and closure of an epithelialized myelomeningocele represents a unique challenge for the neurosurgeon because it requires a modification of the typical closure technique.

METHODS:

Our 10 years' experience in 97 patients with the delayed (>6 months) repair of myelomeningoceles formed the basis of this report.

RESULTS:

We present repair techniques in a child with a myelomeningocele that was not repaired at birth and presented a surgical challenge.

CONCLUSION:

Delayed closure of myelomeningoceles is facilitated by lessons learned from our surgical experience during a medical missions to Guatemala.

KEYWORDS:

Myelomeningocele; Pediatric neurosurgery; Spina bifida; Spinal dysraphism

Comment in

PMID:
23313260
DOI:
10.1016/j.wneu.2013.01.022
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center