Transverse back flap for closure of lumbosacral meningocele defects: Is it Reliable?

Tallal, Raghda El Sayed; reyad, khaled ahmed; Estawrow, mina agaiby

doi:10.21608/ejprs.2022.119873.1148

	Transverse back flap for closure of lumbosacral meningocele defects: Is it Reliable?
The Egyptian Journal of Plastic and Reconstructive Surgery
Articles in Press, Accepted Manuscript, Available Online from 21 February 2022
Document Type: Original Article
DOI: 10.21608/ejprs.2022.119873.1148
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Authors
Raghda El Sayed Tallal ¹; khaled ahmed reyad ²; mina agaiby Estawrow ³
¹Faculty Of Medicine Ain Shams University
²plastic and maxillofacial surgery department, Ain Shams University
³plastic surgery, Ain Shmas university, Cairo,egypt
Abstract
ABSTRACT Background: Meningocele is one of the most complicated congenital anomalies of CNS. The main objective of closure of such abnormalities is maintaining neural tissue function as well as avoiding recurrence and infection. Reconstruction of these defects is challenging and can be done directly or by other options such as random-based local, regional, musculocutaneous flaps and skin grafting. Perforator-based transverse back flap provide a safer rational option enables to close larger defects and at the same time permits other modalities of secondary reconstruction. Patients and Methods: In this study, we retrospectively evaluated the reliability of transverse back flap done for 30 neonates sustained different sizes of lumbosacral (23) and sacral (7) defects following repair of meninogocele. Pedicled fasciocutaneous flap based on the contralateral paralumbar perforators identified by handheld Doppler was raised and rotated to cover the defect. The flap was used to close defects’ size ranged from 15 to 96 cm2 with an average of 45 cm2. Results: 25 (83.3%) flaps passed uneventfully and healed completely without any early or late complications. Only three flaps (10%) developed congestion at their distal third, and two flaps (6.7%) developed wound dehiscence which eventually healed by secondary intention. Conclusion: Transverse back flap provides a reliable, easy and a versatile reconstructive option for lumbosacral defects following repair of Myelomeningocele. Keywords: Transverse back flap, Myelomeningocele, Pedicled perforator flap. Financial disclosure: The authors received no financial support for the research, authorship, and/or publication of this article.
Keywords
Transverse back flap; Myelomeningocele; pedicled perforator flap


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