To evaluate reliability of free style propeller perforator flap for coverage MMC soft tissue defect follow a well-established step that overcome the usual problem of pedicled perforators propellers flaps.
Meningomyelocele is a serious congenital birth defect that not only affect mortality and morbidity of neonate but also a lifelong health problem. The estimated incidence of spina bifida is 1-2 cases per 1000 population. Meningomylocele soft tissue defect reconstruction is considered a lifesaving procedure , the ideal coverage technique should be time limited , reliable and allow healing line to be away from repair of the dura . all of these criteria are available in the selection of free style propeller perforator flap as a method of reconstruction.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Freestyle pedicled perforators propellers flaps for meningomyelocele defects reconstruction with sequential advance in perforators dissection, large number cases, and detailed successful technique.
Mohamed Abdeltawab
Asyut, Egypt
Feasibility of reconstruction technique
Measure the average operative time in minutes in each arm.
Time frame: Time of procedure
Pedicle dissection beyond the muscle
Compare the number of pedicle dissection beyond the muscle in each group.
Time frame: Time of procedure
Meningomyelocele Repair Dehiscence and/or CSF leak
Compare the number of each complication in each arm
Time frame: Time of procedure
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