Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
Repair of refractory postoperative cerebrospinal fluid leakage using a reversed dermis flap in a pediatric lipomyelomeningocele patient.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Koyama Junji, Akutsu Nobuyuki, Higashino Masashi, Motohiro Onoda, Kawamura Atsufumi
Аннотация
INTRODUCTION: Cerebrospinal fluid (CSF) leak and pseudomeningocele are common complications after surgery for spinal dysraphism.
CASE REPORT AND TECHNIQUE: We report a 6-month-old girl with a lumbosacral lipomyelomeningocele and accessory lower limb who developed a refractory cerebrospinal fluid leak and pseudomeningocele after lipomyelomeningocele repair and removal of the accessory limb. The pseudomeningocele was successfully repaired using a reversed dermis flap made from excess skin that covered the meningocele.
CONCLUSION: This technique can be performed without using synthetic material or an additional surgical incision.
CASE REPORT AND TECHNIQUE: We report a 6-month-old girl with a lumbosacral lipomyelomeningocele and accessory lower limb who developed a refractory cerebrospinal fluid leak and pseudomeningocele after lipomyelomeningocele repair and removal of the accessory limb. The pseudomeningocele was successfully repaired using a reversed dermis flap made from excess skin that covered the meningocele.
CONCLUSION: This technique can be performed without using synthetic material or an additional surgical incision.