Plasty transposition flaps a new technique in closure of skin defects after lumbosacral meningomylocele resection in pediatrics

ABSTRACT

Different closure techniques are available after lumbosacral meningomylocele [MMC] resection for large defects reconstruction, but wound healing and tension-free closure in the midline remain major considerations. In this study we use Z plasty technique in closure of MMC defects>5 cm. Twenty newborns with large lumbosacral MMC were enrolled in this study. The mean age was 57.45 +/- 59.8 days. Complete healing of the skin occurred within two weeks in 14 patients [70%]. Superficial wound infection was seen in four patients [20%]. Necroses of the edges of the flap were showed in two patients [10%]. No mortality or complete wound dehiscence were observed in this study. Almost skin wounds healed without any major complications