• Users Online: 118
  • Print this page
  • Email this page
Year : 2020  |  Volume : 28  |  Issue : 4  |  Page : 214-218

Role of perforator flaps in meningomyelocele defect repair

1 Department of Plastic Reconstructive and Aesthetic Surgery, Ankara University School of Medicine, Ankara, Turkey
2 Department of Neurosurgery, Ankara University School of Medicine, Ankara, Turkey

Correspondence Address:
Dr. Burak Kaya
Department of Plastic Reconstructive and Aesthetic Surgery, Ankara University School of Medicine, Ankara
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjps.tjps_96_19

Get Permissions

Background: With an incidence of 1–2 in 1000 live births, meningocele is a relatively frequent birth defect. The lumbosacral region is affected in threequarters of the cases. It may lead to urinary and fecal incontinence, as well as plegia or paresis in the lower extremity. A large number of techniques have been described for meningomyelocele defect repair. Aims and Objectives: We reviewed perforator flaps used in meningomyelocele defect repair on patients admitted to our clinic and compared it with literature. Materials and Methods: This study included 12 newborns operated between January 2012 and February 2019. Results: The meningomyelocele was located in the thoracolumbar area in five patients and the lumbosacral area in 7 patients. The patients weights were 1830–3800 g. The most commonly used flap was the superior gluteal artery flap (n:5). Other flaps that were commoly used are the dorsal intercostal artery perforator (DIAP) and the lumbar artery perforator flaps. In two patients CSF leak was seen and one patient distal necrosis was seen. Conclusion: Perforator flaps can be used safely with a relatively low complication rate in meningomyelocele defect repair. It seems to be an alternative for safe, rapid, less bleeding, and easy surgery resulting in a solution for the closure of large meningomyelocele defects.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded313    
    Comments [Add]    

Recommend this journal