Muhammad Sohaib Anwer, Faisal Waheed, Atta Ur Rehman Khan, Sana Ullah, Naeem Ul Haq, M.Haroon Sarwar
Pakistan Journal of Medical & Health Sciences




Peer Reviewed

Previous Published Issues


Outcome of Closure of Wide Based Defects by Various Rotational Flaps

Muhammad Sohaib Anwer, Faisal Waheed, Atta Ur Rehman Khan, Sana Ullah, Naeem Ul Haq, M.Haroon Sarwar



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ABSTRACT

Aim: To observe the outcome of closure of wide based defects by various rotational flaps for meningomyelocele defects.

Study setting: Neurosurgery Department, Sheikh Zayed Hospital, Rahim yar khan

Duration: From Oct 2018 to Oct 2020,

Methodology: We included 15 patients with wide based myelomeningocele anomalies in the neurosurgery department, Sheikh Zayed Hospital, Rahim yar khan. Age ranged from four days to eight years. The flaw had a diameter of between 8x5cm and 12x8cm. Rotational flaps were used to restore soft tissue defects in all cases.

Result: In this study, we did posterior intercostal artery perforator flap(superiorly based) in 40% patients, double rotation flap (yin yang) in 26.7% patients, superior gluteal artery perforator flap in 20 % patients and z plasty in 13.3 % patients. Regarding complications, 2 (13.3%) individuals had a superficial wound dehiscence. One individual (6.7%) developed necrosis of the distal portion of the flap, which was conventionally handled. Postoperatively, no neurosurgical problem occurred. After an average of 6 months, no patient experienced reappearance or dural sac herniation.

Conclusion: Restoration of large meningomyelocele defects using local rotational flaps is a secure and reliable approach for abnormalities in the lumbosacral region.

Keywords: Meningomyelocele, rotational flaps



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