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Journals / Bağcılar Tıp Bülteni / 2021 / Cilt: 6 - Sayı: 2

Torasik Geniş Meningomyeloselin Dev Kutanöz Defektlerinin Rekonstrüksiyonu: Teknik Not

Reconstruction of Huge Cutaneous Defects of Thoracic Large Meningomyelocele: A Technical Note

Perçin KARAKOL
Nuri Serdar BAŞ
Mehmet BOZKURT
Ece SAGLAM
Pages
210–215
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Tek seansta dev MMC eksizyonları sonrası defektlerin fleplerle onarılmasının morbiditeyi azalttığı sonucuna vardık.

📌 3 Key Takeaways

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Objective & Hypothesis:Meningomyelosel (MMC) olgularında postnatal kese onarımı ve üstteki doku defektinin erken dönemde tamiri zorlu bir cerrahi işlemdir.
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Key Findings & Data:Postpartum 5. günde ağırlıklı olarak torasik, 10x15 cm boyutlarında geniş MMC’li term yenidoğan, önce MMC’nin eksizyonu ve nöral tüp onarımı ardından deri defekti kapatılması için ameliyat edildi.
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Conclusion & Impact:Tek seansta dev MMC eksizyonları sonrası defektlerin fleplerle onarılmasının morbiditeyi azalttığı sonucuna vardık.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Meningomyelosel (MMC) olgularında postnatal kese onarımı ve üstteki doku defektinin erken dönemde tamiri zorlu bir cerrahi işlemdir. Enfeksiyon kontrolü, hemodinamik takip ve uygun rekonstrüksiyon tekniğinin seçimi önemlidir. Torakolomber büyük defektlerin onarımı, bitişik kemik ve yumuşak doku anomalileri nedeniyle son derece zordur. Çalışmanın amacı, MMC’si büyük olan bir hastada torakolomber dev defektin onarım yöntemini bildirmek, bu tür defektlerin onarım seçeneklerini gözden geçirmek ve ortak bir cerrahi disiplin sağlamaktır. Postpartum 5. günde ağırlıklı olarak torasik, 10x15 cm boyutlarında geniş MMC’li term yenidoğan, önce MMC’nin eksizyonu ve nöral tüp onarımı ardından deri defekti kapatılması için ameliyat edildi. Doku defekti flep ile onarıldı. Operasyon sonrası erken veya geç komplikasyon olmadı. Tek seansta dev MMC eksizyonları sonrası defektlerin fleplerle onarılmasının morbiditeyi azalttığı sonucuna vardık.

Özet

In meningomyelocele (MMC) cases, postnatal sac repair and repairment of overlying tissue defect in early period is a challenging surgical process. Infection control, hemodynamic follow-up and selection of the appropriate reconstruction technique are important. Repairment of thoracolumbar huge defects is extremely difficult due to the anomalies of adjacent bony and soft tissues. The aim of the study is to report the method of repairment of the thoracolumbar huge defect in a patient with a large MMC and also to review the options of repairment of such defects and to provide a common surgical discipline. A term newborn with a mainly thoracic large MMC, 10x15 cm in size, was operated on the 5thpostpartum day. After the excision of MMC and repairment of neural tube, operation was performed for the closure of skin defect. Tissue defect was reconstructed with a Z advancement-rotation flap. There were no early or late complications after the operation. We concluded that the repairment of the defects with flaps after giant MMC excisions in a single-session reduces the morbidity.

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Cite This Article

KARAKOL, P., BAŞ, N. S., BOZKURT, M., SAGLAM, E. (2021). Torasik Geniş Meningomyeloselin Dev Kutanöz Defektlerinin Rekonstrüksiyonu: Teknik Not. Bağcılar Tıp Bülteni, Cilt: 6 - Sayı: 2, 210–215. https://ajindex.com/articles/351131

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