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01-04-2018 | Original Paper

Long-term follow-up for keystone design perforator island flap for closure of myelomeningocele

Authors: Christopher Donaldson, Hamsaveni K. M. Murday, Matthew J. Gutman, Rory Maher, Tony Goldschlager, Chris Xenos, R. Andrew Danks

Published in: Child's Nervous System | Issue 4/2018

Abstract

Purpose

We have previously reported a small series on the closure of large myelomeningocele (MMC) defects with a keystone design perforator island flap (KDPIF) in a paediatric neurosurgical centre in Australia. We are now presenting an updated longer term follow-up of an expanded series demonstrating longer term durability of this vascularized flap for large myelomeningocele defects.

Methods

The prospective data from the Monash Neurosurgical Database were used to select all cases of MMC between December 2008 and September 2016. Retrospective analysis of the neurosurgical database revealed an additional three patients who underwent KDPIF closure at the Monash Medical Centre for MMC repair at birth.

Results

Wound healing was satisfactory in all six cases. With delayed follow-up, there was no associated skin flap separation, skin flap dehiscence, skin flap necrosis, cerebro-spinal fluid leak, however two infections were encountered, both resolved with conservative management including antibiotics and simple washout.

Conclusion

In this expanded case series with increased longevity of follow-up, the keystone design perforator island flap remains a robust alternative for closure of large myelomeningocele defects.

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Title: Long-term follow-up for keystone design perforator island flap for closure of myelomeningocele
Authors: Christopher Donaldson
Hamsaveni K. M. Murday
Matthew J. Gutman
Rory Maher
Tony Goldschlager
Chris Xenos
R. Andrew Danks
Publication date: 01-04-2018
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 4/2018
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-017-3697-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Long-term follow-up for keystone design perforator island flap for closure of myelomeningocele

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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