• Like
Spina bifida myelomeningocele repair, treatment and complications
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

Spina bifida myelomeningocele repair, treatment and complications

  • 1,015 views
Published

 

Published in Health & Medicine
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
    Be the first to like this
No Downloads

Views

Total Views
1,015
On SlideShare
0
From Embeds
0
Number of Embeds
0

Actions

Shares
Downloads
23
Comments
0
Likes
0

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide

Transcript

  • 1. Spina BifidaMyelomeningocele Repair,Treatment andComplicationsLearn more about Spina Bifida athttp://www.spinabifida.net
  • 2. Myelomeningocele repairAge upto 72 hr after birthEvaluate CVS RS Genitourinary systemDelayed repair and shunt placement  risk ofmorbidity and infection
  • 3. Plastic surgerySize of spinal defect and adjacent tissue need plasticsurgery to primary closure
  • 4. Operative technique• To protect cord tissue, loss of CSF , minimize risk ofmeningitis• Incision : margin between arachnoid of neural placode anddystrophic epidermis• Resection epidermal and dermal tissue from the peripheryof neural placode• Monofilament suture• Reconstruct thecal sac, duraplasty with thoracolumbar fascia
  • 5. complicationsEarly complication from repairSuperficial wound dehiscenceWound infectionMeningitisSepsis
  • 6. complicationHydrocephalusMay develop in first 6 wk of lifeSign of increase ICP  increase HC,fullness of fontanelle, spiltsutureA shunt shold be perform
  • 7. complicationChiari II malformationCaudal herniation of cerebellumRare but high mortalityApnea,cyanosis,bradycardia,dysphagia,nystagmus,opisthotonos,weakness,Hindbrain decompression for symptomatic Chiari IImalformation
  • 8. complicationLatex allergy
  • 9. Long term follow upMultidisciplinary teamNeurology, orthopedics , urologyCognitive & behavior
  • 10. Questions?Learn more about Myelomeningocele and Spina Bifidaat http://www.spinabifida.net