Local Flaps with Negative Pressure Wound Therapy in Secondary Reconstruction of Myelomeningocele Wound Necrosis
Summary:. Major wound necrosis is an uncommon yet critical complication of meningomyelocele surgical repair with few reports available. Management is demanding and often requires further reconstructive surgery. We report a case of a neonate who developed extensive wound necrosis with dehiscence foll...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2018-12-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002012 |
| _version_ | 1818511623095058432 |
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| author | Chihena H. Banda, MD Mitsunaga Narushima, MD, PhD Ryohei Ishiura, MD Minami Fujita, MD Megumi Furuya, MD |
| author_facet | Chihena H. Banda, MD Mitsunaga Narushima, MD, PhD Ryohei Ishiura, MD Minami Fujita, MD Megumi Furuya, MD |
| author_sort | Chihena H. Banda, MD |
| collection | DOAJ |
| description | Summary:. Major wound necrosis is an uncommon yet critical complication of meningomyelocele surgical repair with few reports available. Management is demanding and often requires further reconstructive surgery. We report a case of a neonate who developed extensive wound necrosis with dehiscence following primary repair of myelomeningocele. The large defect was reconstructed using transposition fasciocutaneous flaps and negative pressure wound therapy applied over the flap donor sites resulting in wound closure, alleviating the need for further surgery. We report this case to highlight the importance of local flap design in reconstruction of the complex wounds seen following meningomyelocele repair wound necrosis. Additionally, we report the unique utilization of negative pressure wound therapy in the management of myelomeningocele. |
| first_indexed | 2024-12-10T23:35:35Z |
| format | Article |
| id | doaj.art-7f8800e288a84e4db44ef51513d12d90 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-10T23:35:35Z |
| publishDate | 2018-12-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-7f8800e288a84e4db44ef51513d12d902022-12-22T01:29:13ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742018-12-01612e201210.1097/GOX.0000000000002012201812000-00035Local Flaps with Negative Pressure Wound Therapy in Secondary Reconstruction of Myelomeningocele Wound NecrosisChihena H. Banda, MD0Mitsunaga Narushima, MD, PhD1Ryohei Ishiura, MD2Minami Fujita, MD3Megumi Furuya, MD4From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Mie University, Tsu, Japan.From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Mie University, Tsu, Japan.From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Mie University, Tsu, Japan.From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Mie University, Tsu, Japan.From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Mie University, Tsu, Japan.Summary:. Major wound necrosis is an uncommon yet critical complication of meningomyelocele surgical repair with few reports available. Management is demanding and often requires further reconstructive surgery. We report a case of a neonate who developed extensive wound necrosis with dehiscence following primary repair of myelomeningocele. The large defect was reconstructed using transposition fasciocutaneous flaps and negative pressure wound therapy applied over the flap donor sites resulting in wound closure, alleviating the need for further surgery. We report this case to highlight the importance of local flap design in reconstruction of the complex wounds seen following meningomyelocele repair wound necrosis. Additionally, we report the unique utilization of negative pressure wound therapy in the management of myelomeningocele.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002012 |
| spellingShingle | Chihena H. Banda, MD Mitsunaga Narushima, MD, PhD Ryohei Ishiura, MD Minami Fujita, MD Megumi Furuya, MD Local Flaps with Negative Pressure Wound Therapy in Secondary Reconstruction of Myelomeningocele Wound Necrosis Plastic and Reconstructive Surgery, Global Open |
| title | Local Flaps with Negative Pressure Wound Therapy in Secondary Reconstruction of Myelomeningocele Wound Necrosis |
| title_full | Local Flaps with Negative Pressure Wound Therapy in Secondary Reconstruction of Myelomeningocele Wound Necrosis |
| title_fullStr | Local Flaps with Negative Pressure Wound Therapy in Secondary Reconstruction of Myelomeningocele Wound Necrosis |
| title_full_unstemmed | Local Flaps with Negative Pressure Wound Therapy in Secondary Reconstruction of Myelomeningocele Wound Necrosis |
| title_short | Local Flaps with Negative Pressure Wound Therapy in Secondary Reconstruction of Myelomeningocele Wound Necrosis |
| title_sort | local flaps with negative pressure wound therapy in secondary reconstruction of myelomeningocele wound necrosis |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002012 |
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