Using the sac membrane to close the flap donor site in large meningomyeloceles

If a large transposition flap with or without muscle is used for closure of a large meningomyelocele defect, then, a part of the donor site of the flap can be closed by split thickness skin graft, which produces an additional donor wound for the patient. We used the sac membrane instead of split thi...

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Bibliographic Details
Published in:British journal of plastic surgery 2004-04, Vol.57 (3), p.273-277
Main Authors: Bozkurt, Cengiz, Akın, Selçuk, Doğan, Şeref, Özdamar, Erkut, Aytaç, Selçuk, Aksoy, Kaya, Erol, Oktan
Format: Article
Language:English
Subjects:
Biological and medical sciences
Donor site
Epithelial Cells
Female
Flap
Graft
Humans
Infant, Newborn
Male
Malformations of the nervous system
Medical sciences
Meningomyelocele
Meningomyelocele - surgery
Neurology
Postoperative Complications - etiology
Reconstructive Surgical Procedures - methods
Sac membrane
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
Treatment Outcome
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Summary:If a large transposition flap with or without muscle is used for closure of a large meningomyelocele defect, then, a part of the donor site of the flap can be closed by split thickness skin graft, which produces an additional donor wound for the patient. We used the sac membrane instead of split thickness skin graft for closure of donor sites of fasciocutaneous flaps and latissimus dorsi musculocutaneous flaps employed to cover large meningomyelocele defects. This technique was used in three thoracolumbar and in two lumbosacral meningomyelocele patients. The sac membrane was prepared like a full thickness skin graft. Follow-up in five patients has ranged from 1 to 18 months, with a mean of 10.6 months. The donor sites that were closed by the sac membrane exhibited complete healing in all patients. We conclude that the sac membrane supplies a reserve of epithelialised tissue that can be used for repair of the meningomyelocele defects.
ISSN:0007-1226
1465-3087
DOI:10.1016/j.bjps.2003.11.002