Abstract
In our daily practice, most myelomeningoceles are closed within 48 hours of birth. In case of an unstable child, closure may be safely de layed for up to 72 hours without an increase in complications [1–3]. Early postoperative mortality for myelomeningocele repair is near zero; however, the morbidity due to complications of the repair can be significant [2, 4–8]. These complications may affect the patient’s quality of life and are usually due to faulty techniques that are by and large preventable.
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References
McLone DG (1998) Care of the neonate with a meningomyelocele. Neurosurg Clin N Am 9:111–120
Pang D (1995) Surgical complications of open spinal dysraphism. Neurosurg Clin N Am 6:243–257
Sutton L (2005) Spinal dysraphism. In: Rengachary SS, Ellenbogen RG (eds) Principles of neurosurgery. Elsevier Mosby, Edinburgh, pp 99–115
Cohen AR, Robinson S (2001) Early management of myelomeningocele. In: McLone D (ed) Pediatric neurosurgery. WB Saunders Company, Philadelphia, London, New York, pp 241–259
Hahn YS (1995) Open meningomyelocele. Neurosurg Clin N Am 6:231–241
McLone OC, Dias MS (1991–92) Complications of myelo meningocele closure. Pediatr Neurosurg 17:267–293
Mirzai H, Ersahin Y, Mutluer S et al (1998) Outcome of patients with meningomyelocele. Childs Nerv Syst 14:120–123
Gross HR, Cox A, Tatyrek R et al (1983) Early management and decision making for the treatment of meningomyelocele. Pediatrics 72:450–458
Cohen AR, Robinson S (2001) Early management of meningomyelocele. In: McLone DG (ed) Pediatric neurosurgery. Surgery of the developing nervous system. WB Saunders Company, Philadelphia, pp 241–259
Babuccu O, Kalayc M, Peksoy I et al (2004) Effect of cerebrospinal fluid leakage on wound healing in flap surgery: Histological evaluation. Pediatr Neurosurg 40:101–106
McLone D (1980) Technique for closure of myelo — menin gocele. Childs Brain 6:65–73
Ramasastry SS, Cohen M (1995) Soft tissue closure and plastic surgical aspects of large open myelo — meningoceles. Neurosurg Clin N Am 6:279–291
Hoppenfeld S (1967) Congenital kyphosis in meningo — myelocele. J Bone Joint Surg Br 49:276–280
Dias MS, McLone DG (2008) Meningomyelocele. In: Albright AL, Pollack IF, Adelson PD (eds) Principles and practice of pediatric neurosurgery. Thieme, New York, pp 338–366
McLone D (1983) Results of treatment of children born with a myelomeningocele. Clin Neurosurg 30:407–412
Reigel DH, McLone DG (1988) Meningomyelocele. Operative treatment and results. In: Marlin AE (ed) Concepts in pediatric neurosurgery, Vol 8. Karger, Basel, pp 41–50
Parent AD, McMillan T (1995) Contemporaneous shunting with repair of meningomyelocele. Pediatr Neurosurg 22:132–135
Epstein F (1983) Meningomyelocele: “pitfalls” in early and late management. Clin Neurosurg 30:366–384
Wakhlu A, Ansari NA (2004) The prediction of postoperative hydrocephalus in patients with spina bifida. Childs Nerv Syst 20(2):104–106
Gamache F (1995) Treatment of hydrocephalus in patients with myelomeningocele or encephalocele: A recent series. Childs Nerv System 11:487–488
Mazolla C, Albright AL, Sutton L et al (2002) Dermoid inclusion cysts and early spinal cord tethering after fetal surgery for meningomyelocele. N Eng J Med 347:256–259
Donn SM, Baker FC (2006) Thoracic airleaks. In: Donn SM, Sinha SK (eds) Manual of neonatal respiratory care. Mosby Elsevier, Philadelphia, pp 445–451
Cabatu EE, Brown EG (1979) Thoracic transillumination: Aid in the diagnosis and treatment of pneumopericardium. Pediatrics 64:958–960
Donn SM, Engmann C (2003) Neonatal resuscitation: Special procedures. In: Donn SM (ed) The Michigan manual of neonatal intensive care. Hanley & Belfus,Philadelphia, pp 33–41
Hunt MN (2006) The acute abdomen in the newborn. Seminars in fetal and neonatal medicine 11:191–197
Newell SJ (2005) Gastrointestinal disorders. In: Rennie JM (ed) Roberton’s textbook of neonatology. Elsevier-Churchill-Livingstone, Philadelphia, pp 692-710
Beeby PJ, Jeffrey H (1992) Risk factors for necrotizing enterocolitis. Arch Dis Child 67:432–435
Lawrence G, Bates J, Gaul A (1982) Pathogenesis of neonatal necrotizing enterocolitis. Lancet 1:137–139
Srinivasan P, Burdjalov V (2005) Necrotizing enterocolitis. In: Spitzer AR (ed) Intensive care of the fetus and neonate. Elsevier Mosby, Philadelphia, pp 1027–1045
Pokorni WJ, Garcia JA, Barry YN (1986) Necrotizing enterocolitis: incidence, operative care, and outcome. J Pediatr Surg 21:1149–1154
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MemetÖzek, M. (2008). Early Surgical Complications of Spina Bifida. In: The Spina Bifida. Springer, Milano. https://doi.org/10.1007/978-88-470-0651-5_13
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