Local Flaps with Negative Pressure Wound Therapy in Secondary Reconstruction of Myelomeningocele Wound Necrosis

Banda, Chihena H.; Narushima, Mitsunaga; Ishiura, Ryohei; Fujita, M.; Furuya, Megumi

doi:10.1097/gox.0000000000002012

Cited by 7 publications

(4 citation statements)

References 10 publications

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“…The mean number of sessions for ciNPWT was three (1)(2)(3)(4)(5). Mean BMI was 28.1 (21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33). The location of the wounds was on the trunk in 13 patients, on the lower extremity in five patients on the pelvis in three patients, on the upper extremity in two patients and head in one patient.…”

Section: Resultsmentioning

confidence: 99%

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Clinical Experiences with Closed Incisional Negative Pressure Wound Treatment on Various Anatomic Locations

Özkan¹,

Ertaş²,

Bali³

et al. 2020

Cureus

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BackgroundClosed incisional negative pressure wound treatment (ciNPWT) is one of the promising methods for the prevention of complications in surgical incisions. The mechanisms of ciNPWT have previously been elucidated and in this series, we demonstrate various, as of yet, underreported uses for the technology. Our aim is to share our experience with ciNPWT on various anatomic sites with novel indications. Materials and methodsciNPWT was used in 24 patients. The mean age was 49.6. All the incisions were sutured, clean, and non-infected. Patients' sex, age, comorbidities, anatomic location of the wound, and the indications for ciNPWT were recorded. ResultsThe mean number of applications was three per patient. One suture dehiscence after one session of ciNPWT was encountered in a flap donor site of an infant operated for meningomyelocele. Late-term seroma and hematoma formation were encountered in two patients. No surgical site infection, wound dehiscence, and ciNPWT related complications were seen in other patients. The majority of the applications were on the trunk, lower extremity, pelvis, upper extremity, and scalp respectively. Indications for ciNPWT utilization were preventing dehiscence, seroma, and hematoma formation in the majority of the patients. ConclusionciNPWT is reliable and effective in the prevention of post-operative wound dehiscence and surgical site infections. It can be used safely in various locations and different indications for preventing complications such as preventing dehiscence in revision surgeries, cerebrospinal fluid (CSF) fistula formation in the scalp, and wound breakdown in chronic corticosteroid use, Categories: Plastic Surgery

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Section: Resultsmentioning

confidence: 99%

“…Our recommendation is keeping the negative pressure below 40 mmHg for counteracting headache and uncontrolled CSF aspiration to the canister. Reports on the application of VAC in infants are rare [26]. After the closure of the meningomyelocele defect with perforator flap, we closed the donor site of the flap primarily.…”

Section: Discussionmentioning

confidence: 99%

Clinical Experiences with Closed Incisional Negative Pressure Wound Treatment on Various Anatomic Locations

Özkan¹,

Ertaş²,

Bali³

et al. 2020

Cureus

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“…This feature of the FIF makes the tumor surrounding the tissues and organs clear, and it is easy to detach the tumor without damaging the surrounding organs and increasing complications. The success of the resection is related to a multidisciplinary surgical intervention; the participation of the pediatric neurosurgery team was fundamental for the patient’s prognosis due to their intervention in the closure of the thoracolumbosacral meningocele, closure of the cerebrospinal fluid fistula, and placement of a negative pressure drain with the objective of promoting hermetic closure of the wound, avoiding fistulas, and reducing the risk of neuroinfections [ 14 ]. In our case, sepsis of the localized cutaneous flap was presented as a complication, which was managed with surgical lavage and antibiotic therapy by plastic surgery, with satisfactory results.…”

Section: Discussionmentioning

confidence: 99%

The First Case of Fetus in Fetu in Nicaragua: The Management Experience of the Pediatric Neurosurgery Team

Cantarero¹,

Cantarero²,

Mendieta³

2023

Cureus

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Fetus in fetu (FIF) is a rare congenital anomaly of asymmetric monozygotic twins, where the parasitic twin develops abnormally inside the body of the host twin. In most cases, it is incorporated into the sibling's abdomen, which frequently presents as a retroperitoneal mass. Currently, at least 200 cases have been reported worldwide, being this the first case in Nicaragua. We describe a case of a male newborn, born via cesarean section, with a history of multiple congenital malformations observed via ultrasound examination. At birth, a mass is observed on its dorsum that impresses a skull, but without the presence of bones, with three limbs, two upper and one lower, with an outline located transversely on the pelvic girdle and the presence of two male genitalia with agenesis of the testicles and an accessory kidney. A preoperative diagnosis of FIF and spinal dysraphism was made by computed tomography (CT) and magnetic resonance imaging (MRI). They shared a spinal cord and had the presence of an open spinal defect type meningocele with aberrant roots. After the diagnosis and discussion, the multidisciplinary team proceeded to surgery to perform the separation of the twin (FIF). The subsequent anatomopathological examination revealed that the fetus was anencephalic and had reliable FIF characteristics. The resection was performed followed by the closure of the 430 mL meningocele and complete separation of the spine and the parasitic twin. We present the first case of fetus in fetu in Nicaragua.

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“…Procedures like the Z-plasty improves cosmesis of scars crossing relaxed skin tension limes (RSTLs) and are ideal to release scar contractures by redistributing tension over the wound. [9][10][11][12] The transposition flaps are to be avoided in subjects with co-morbidities, poor compliance or are expected to interfere with their surgical site postoperatively. Smoking, bleeding diatheses or predisposition to impaired vascular supply are issues to be considered.…”

Section: Discussionmentioning

confidence: 99%

Transposition glabellar flap in post orbital exenteration fistula: case report

Munjal

Verma

et al. 2022

Int J Otorhinolaryngol Head Neck Surg

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<p>Reconstruction of facial orbital region defects, secondary to wound dehiscence following orbital exentration to treat Mucormycosis is an issue confronting the rhinologist. The transposition flaps have a vital role when expected result is unlikely, neither aesthetic nor functional, with a simple primary closure, secondary intention, advancement sliding flap or by free skin grafts. Glabellar transposition flap was used in a patient with a wide defect involving the medial wall of the orbit. Though there is a delicate dissection of pedicel there is likelihood of a trapdoor deformity but the glabellar flap facilitates repair in a single-staged procedure. Moreover, the donor site scars are merged in the margins of the aesthetic units thereby retaining facial cosmesis.</p><p class="abstract"> </p>

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Local Flaps with Negative Pressure Wound Therapy in Secondary Reconstruction of Myelomeningocele Wound Necrosis

Cited by 7 publications

References 10 publications

Clinical Experiences with Closed Incisional Negative Pressure Wound Treatment on Various Anatomic Locations

Clinical Experiences with Closed Incisional Negative Pressure Wound Treatment on Various Anatomic Locations

The First Case of Fetus in Fetu in Nicaragua: The Management Experience of the Pediatric Neurosurgery Team

Transposition glabellar flap in post orbital exenteration fistula: case report

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