Dr Dinesh kumar Rajput, Dr Neeraj singh Rajput


Meningomyelocoel is a global disease and more prevalent in low socioeconomic groups. Its prevalence is roughly one per one thousands of live births. As per standard protocol, these should be operated, as soon as possible to prevent damage of neural placode from the exposure of environment factors. In most of the cases, defect is easily covered with primary closure. However in large defects, they need cover with myocutaneous flaps raised with different methods. We had used Limberg flap to cover large defect in meningomyelocoel.


Meningomyelocoel, Limberg flap,

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Wallingford JB. Neural tube closure and neural tube defects: studies in animal models reveal known knowns and known unknowns. Am J Med Genet C Semin Med Genet. 2005;135C:59–68. [PubMed] [Google Scholar]

Scheflan M, Mehrhof AI, Jr, Ward JD. Meningomyelocele closure with distally based latissimus dorsi flap. Plast Reconstr Surg. 1984;73:956–959. [PubMed] [Google Scholar]

Botto LD, Moore CA, Khoury MJ, et al. Neural-tube defects. N Engl J Med. 1999;341:1509–1519. [PubMed] [Google Scholar]

Patterson TJ. The use of rotation flaps following excision of lumbar myelo-meningoceles: an aid to the closure of large defects. Br J Surg. 1959;46:606–608.[PubMed] [Google Scholar]

Adzick NS. Fetal surgery for spina bifida: past, present, future. Semin Pediatr Surg. 2013;22:10–17. [PMC free article] [PubMed] [Google Scholar]

McDevitt NB, Gillespie RP, Woosley RE, et al. Closure of thoracic and lumbar dysgraphic defects using bilateral latissimus dorsi myocutaneous flap transfer with extended gluteal fasciocutaneous flaps. Childs Brain. 1982;9:394–399. [PubMed] [Google Scholar]

Patel KB, Taghinia AH, Proctor MR, et al. Extradural myelomeningocele reconstruction using local turnover fascial flaps and midline linear skin closure. J Plast Reconstr Aesthet Surg. 2012;65:1569–1572. [PubMed] [Google Scholar]

El-Sabbagh AH, Zidan AS. Closure of large myelomeningocele by lumbar artery perforator flaps. J Reconstr Microsurg. 2011;27:287–294. [PubMed] [Google Scholar]

Duffy FJ, Jr, Weprin BE, Swift DM. A new approach to closure of large lumbosacral myelomeningoceles: the superior gluteal artery perforator flap. Plast Reconstr Surg. 2004;114:1864–1868. [PubMed] [Google Scholar]

Cruz NI, Ariyan S, Duncan CC, et al. Repair of lumbosacral myelomeningoceles with double Z-rhomboid flaps. Technical note. J Neurosurg. 1983;59:714–717.[PubMed] [Google Scholar]

Habal MB, Vries JK. Tension free closure of large meningomyelocele defects. Surg Neurol. 1977;8:177–180. [PubMed] [Google Scholar]

Ohtsuka H, Shioya N, Yada K. Modified Limberg flap for lumbosacral meningomyelocele defects. Ann Plast Surg. 1979;3:114–117. [PubMed] [Google Scholar]

Gibson T, ed. Modern Trends in Plastic Surgery.London:Butterworths,1964.


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