Wound closure of the myelomeningocoele defect

Edward Luce, John Walsh

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Our experience with 74 neonates with myelomeningocoele is reported. Management in the first phase of the study period consisted of primary closure in 37 patients by wide undermining and skin advancement, marked by a high woundcomplication rate. Latissimus dorsi muscle closure, either “reverse” or advanced, was performed in a transitional phase in 5 patients, characterized by increased operative time and blood loss. In the last portion of the study period, 32 patients were managed by immediate dural closure and skin grafts either simultaneously or on a delayed basis at 48 to 72 hours with a low incidence of graft loss, CSF leak, or sepsis. Back ulceration and follow-up in either the primary closure or the skin-grafted group has been infrequent.

Original languageEnglish (US)
Pages (from-to)389-393
Number of pages5
JournalPlastic and Reconstructive Surgery
Volume75
Issue number3
DOIs
StatePublished - Jan 1 1985
Externally publishedYes

Fingerprint

Skin
Wounds and Injuries
Transplants
Superficial Back Muscles
Operative Time
Sepsis
Newborn Infant
Muscles
Incidence

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Wound closure of the myelomeningocoele defect. / Luce, Edward; Walsh, John.

In: Plastic and Reconstructive Surgery, Vol. 75, No. 3, 01.01.1985, p. 389-393.

Research output: Contribution to journalArticle

Luce, Edward ; Walsh, John. / Wound closure of the myelomeningocoele defect. In: Plastic and Reconstructive Surgery. 1985 ; Vol. 75, No. 3. pp. 389-393.
@article{13878367b8b04e38b6a86a7a7f91afc1,
title = "Wound closure of the myelomeningocoele defect",
abstract = "Our experience with 74 neonates with myelomeningocoele is reported. Management in the first phase of the study period consisted of primary closure in 37 patients by wide undermining and skin advancement, marked by a high woundcomplication rate. Latissimus dorsi muscle closure, either “reverse” or advanced, was performed in a transitional phase in 5 patients, characterized by increased operative time and blood loss. In the last portion of the study period, 32 patients were managed by immediate dural closure and skin grafts either simultaneously or on a delayed basis at 48 to 72 hours with a low incidence of graft loss, CSF leak, or sepsis. Back ulceration and follow-up in either the primary closure or the skin-grafted group has been infrequent.",
author = "Edward Luce and John Walsh",
year = "1985",
month = "1",
day = "1",
doi = "10.1097/00006534-198503000-00015",
language = "English (US)",
volume = "75",
pages = "389--393",
journal = "Plastic and Reconstructive Surgery",
issn = "0032-1052",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Wound closure of the myelomeningocoele defect

AU - Luce, Edward

AU - Walsh, John

PY - 1985/1/1

Y1 - 1985/1/1

N2 - Our experience with 74 neonates with myelomeningocoele is reported. Management in the first phase of the study period consisted of primary closure in 37 patients by wide undermining and skin advancement, marked by a high woundcomplication rate. Latissimus dorsi muscle closure, either “reverse” or advanced, was performed in a transitional phase in 5 patients, characterized by increased operative time and blood loss. In the last portion of the study period, 32 patients were managed by immediate dural closure and skin grafts either simultaneously or on a delayed basis at 48 to 72 hours with a low incidence of graft loss, CSF leak, or sepsis. Back ulceration and follow-up in either the primary closure or the skin-grafted group has been infrequent.

AB - Our experience with 74 neonates with myelomeningocoele is reported. Management in the first phase of the study period consisted of primary closure in 37 patients by wide undermining and skin advancement, marked by a high woundcomplication rate. Latissimus dorsi muscle closure, either “reverse” or advanced, was performed in a transitional phase in 5 patients, characterized by increased operative time and blood loss. In the last portion of the study period, 32 patients were managed by immediate dural closure and skin grafts either simultaneously or on a delayed basis at 48 to 72 hours with a low incidence of graft loss, CSF leak, or sepsis. Back ulceration and follow-up in either the primary closure or the skin-grafted group has been infrequent.

UR - http://www.scopus.com/inward/record.url?scp=0021914958&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0021914958&partnerID=8YFLogxK

U2 - 10.1097/00006534-198503000-00015

DO - 10.1097/00006534-198503000-00015

M3 - Article

VL - 75

SP - 389

EP - 393

JO - Plastic and Reconstructive Surgery

JF - Plastic and Reconstructive Surgery

SN - 0032-1052

IS - 3

ER -