Facilitating triple rhomboid flaps for meningomyelocele defect closure using a honeycomb structure as a template
Küçük Resim Yok
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose Various reconstruction options are available for the soft-tissue coverage of meningomyelocele defects. For small defects, primary closure or local single flaps may be sufficient, while large defects require more complex reconstructive techniques. This study suggests an easy way for surgeons to close large meningomyelocele defects using triple rhomboid flaps. Methods The hexagonal structure of a honeycomb was considered when planning for the coverage of large meningomyelocele defects. The intact skin around the defect was imagined as multiple hexagons, which allowed us to plan triple rhomboid flaps correctly and more easily. This technique was used in seven patients with defects ranging from 7 x 5 to 12 x 8 cm in size. Results No major postoperative complications were seen. Minimal dehiscence was observed in two patients and healed secondarily. Conclusions The honeycomb modification for planning triple rhomboid flaps is an easy, practical, and memorable approach for surgeons reconstructing large meningomyelocele defects.
Açıklama
Anahtar Kelimeler
Meningomyelocele, Surgical Flaps, Wound Closure, Techniques
Kaynak
Childs Nervous System
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
32
Sayı
5
