Propellers Flaps for Meningomylocele Defects

Assiut University

Status: Completed

Conditions: Meningomyelocele; Meningocele

Treatments: Procedure: Freestyle pedicled perforators propellers flaps for meningomyelocele defects

Study type: Interventional

Funder types: Other

Identifiers

NCT05188300

propellers flap

Details and patient eligibility

About

To evaluate reliability of free style propeller perforator flap for coverage MMC soft tissue defect follow a well-established step that overcome the usual problem of pedicled perforators propellers flaps.

Full description

Meningomyelocele is a serious congenital birth defect that not only affect mortality and morbidity of neonate but also a lifelong health problem.

The estimated incidence of spina bifida is 1-2 cases per 1000 population. Meningomylocele soft tissue defect reconstruction is considered a lifesaving procedure , the ideal coverage technique should be time limited , reliable and allow healing line to be away from repair of the dura . all of these criteria are available in the selection of free style propeller perforator flap as a method of reconstruction.

Enrollment: 40 patients

Sex: All

Ages: 1 day to 6 months old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All cases with dorsolumbar meningomyelocele and age up to 6 months

Exclusion criteria

• Infants older than 6 months
• concomitant congenital anomalies
• concomitant spinal kyphosis

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 3 patient groups

Dorsal intercostal artery (DICA) perforator flaps

Experimental group

Description:

Retrograde dissection of free style perforator arising from DICA according to region of dorsal spine and identification of paraspinal muscle where perforator vessel was found

Treatment:

Procedure: Freestyle pedicled perforators propellers flaps for meningomyelocele defects

Trapezius musculocutaneous perforator flaps

Experimental group

Description:

Retrograde dissection of a free style perforator arising as a trapezius myocutenous perforator where the trapezius muscle is identified and a perforator vessel was isolated.

Treatment:

Procedure: Freestyle pedicled perforators propellers flaps for meningomyelocele defects

Lumbar artery perforators flaps

Experimental group

Description:

Retrograde dissection of free style perforator arising from lumbar artery according to region of lumbar spine and identification of lumbar fascia where perforator vessel was found

Treatment:

Procedure: Freestyle pedicled perforators propellers flaps for meningomyelocele defects