29Mar 2017

Z-PLASTY TRANSPOSITION FLAPS A NEW TECHNIQUE IN CLOSURE OF SKIN DEFECTS AFTER LUMBOSACRAL MENINGOMYELOCELE RESECTION IN PEDIATRICS.

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Background: Different closure techniques are available after lumbosacral meningomyelocele resection (MMC) resection for large defects reconstruction, but wound healing and tension-free closure in the midline remain major considerations. In this study we use Z-plasty technique in closure of MMC defects > 5 cm. Twenty newborns with large lumbosacral MMC were enrolled in this study. The mean age was 57.45± 59.8 days. Complete healing of the skin occurred within two weeks in 14 patients (70%). Superficial wound infection was seen in four patients (20%). Necrosis of the edges of the flap was showed in two patients (10%). No mortality or complete wound dehiscence were observed in this study. Almost skin wounds healed without any major complications.

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[Khairy H. Abdel-Hamied, Mohamed Abdel-Aziz Al-Mlegi, Moawad Saad Abdel-Hafiz, Yasser M. El-Khawalka, Osama Soliman Elbalky, and Ayman Abdel-Hamied El-Tayar. (2017); Z-PLASTY TRANSPOSITION FLAPS A NEW TECHNIQUE IN CLOSURE OF SKIN DEFECTS AFTER LUMBOSACRAL MENINGOMYELOCELE RESECTION IN PEDIATRICS. Int. J. of Adv. Res. 5 (Mar). 1320-1323] (ISSN 2320-5407). www.journalijar.com

Dr. Ayman Tyar

DOI:

Article DOI: 10.21474/IJAR01/3639      
DOI URL: https://dx.doi.org/10.21474/IJAR01/3639

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