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

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

Torasik Geniş Meningomyeloselin Dev Kutanöz Defektlerinin Rekonstrüksiyonu: Teknik Not

Perçin KARAKOL
Nuri Serdar BAŞ
Mehmet BOZKURT
Ece SAGLAM
Sayfa
210–215
DOI
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Yapay Zeka Hızlı Bakış & Çıkarımlar

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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

We concluded that the repairment of the defects with flaps after giant MMC excisions in a single-session reduces the morbidity.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:In meningomyelocele (MMC) cases, postnatal sac repair and repairment of overlying tissue defect in early period is a challenging surgical process.
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Temel Bulgular & Veri:A term newborn with a mainly thoracic large MMC, 10x15 cm in size, was operated on the 5thpostpartum day.
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Sonuç & Katkı:We concluded that the repairment of the defects with flaps after giant MMC excisions in a single-session reduces the morbidity.
🔬Tür:Literatür & Derleme Çalışması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

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.

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.

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Bu Makaleye Atıf Yap

KARAKOL, P., BAŞ, N. S., BOZKURT, M., SAGLAM, E. (2021). Reconstruction of Huge Cutaneous Defects of Thoracic Large Meningomyelocele: A Technical Note. Bağcılar Tıp Bülteni, Cilt: 6 - Sayı: 2, 210–215. https://ajindex.com/articles/351131

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Kaynakça (15)

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