Plastic Surgery Aspects of Large Open Myelomeningoceles

  • James T. Goodrich
  • David A. Staffenberg


The repair of large complex myelomeningoceles remains one of the most difficult challenges facing pediatric neurosurgeons. Recent collaboration with our plastic surgery colleagues has led to the joint introduction of repair techniques for these complex malformations. Our current practice is for the neurosurgical team to expose the neural elements and placode of the myelomeningocele and release them from the surrounding tissues. Once the neural reconstruction is completed the plastic surgery team completes the reconstruction with appropriate flaps and skin rotations. Our center has been using these techniques for over two decades with very gratifying results. The surgical exposures and nuances of these complex closures are discussed below.


Rectal Prolapse Latissimus Dorsi Plastic Surgeon Skin Closure Menin Goceles 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Danish SF, Samdani AF, Storm PB et al (2006) Use of allogeneic skin graft for the closure of large myelo — menin goceles: Technical case report. Operative Neurosurgery 58:DNS–378Google Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • James T. Goodrich
    • 1
  • David A. Staffenberg
    • 2
    • 3
  1. 1.Division of Pediatric Neurosurgery Plastic Surgery and Pediatrics Children’s Hospital at Montefiore Montefiore Medical CenterAlbert Einstein College of MedicineBronxUSA
  2. 2.Division of Plastic and Reconstructive Surgery Children’s Hospital at MontefioreMontefiore Medical CenterBronxUSA
  3. 3.Department of Clinical Plastic Surgery Neurosurgery and PediatricsAlbert Einstein College of MedicineBronxUSA

Personalised recommendations