Matches in SemOpenAlex for { <https://semopenalex.org/work/W4310136638> ?p ?o ?g. }
Showing items 1 to 72 of
72
with 100 items per page.
- W4310136638 endingPage "e38" @default.
- W4310136638 startingPage "e31" @default.
- W4310136638 abstract "Background Meningomyelocele reconstruction is a lifesaving procedure. A freestyle propeller perforator flap is an ideal option for moderate to large soft tissue meningomyelocele reconstruction. Previous studies that focused on the reliability of perforator flaps for meningomyelocele reconstruction recommended preserving a cuff of soft tissue around the perforators to avoid vasospasm. This method is a very conservative approach in comparison to the recently well-established principles of pedicled perforator flap dissection. In this study, we used a dissection ladder approach. In this method, the pedicle is freed by just islanding the pedicle, skeletonization of the perforator, or further dissection of the perforators beyond the muscles, based on intraoperatively monitoring of the flap. Materials and Methods Thirty-six infants with a mean age of 2.1 ± 1.1 months underwent surgery for dorsolumbar meningomyelocele at Assuit University Hospital for 3 years. During surgery, the freestyle perforator flap followed a dissection ladder for perforating vessels and intraoperative flap monitoring. Flap viability, seroma, hematoma, and cerebrospinal fluid leakage were evaluated. Results Nine cases required perforator skeletonization, 4 cases required dissection beyond the muscle, and 23 cases required islanding the flap on the perforators. The average operative time was 43.37 ± 7.87 minutes. Partial tip ischemia was detected in 2 cases. These cases exhibited partial dehiscence and healed by secondary intention. Complete flap loss did not occur in any cases. Conclusions A conservative approach for perforator flap elevation in infants did not provide optimal results in all cases of thoracolumbar meningomyelocele reconstructions. Well-established principles of perforator dissection, including skeletonization and dissection beyond the muscle, are safe, prevent vasospasms, and improve flap viability." @default.
- W4310136638 created "2022-11-30" @default.
- W4310136638 creator A5009663380 @default.
- W4310136638 creator A5032561485 @default.
- W4310136638 creator A5044459413 @default.
- W4310136638 creator A5072769229 @default.
- W4310136638 creator A5080706274 @default.
- W4310136638 creator A5089053586 @default.
- W4310136638 date "2022-12-01" @default.
- W4310136638 modified "2023-09-25" @default.
- W4310136638 title "A New Dissection Ladder Approach for Perforator Vessels in Infant Meningomyelocele Soft Tissue Reconstruction" @default.
- W4310136638 cites W107323762 @default.
- W4310136638 cites W1985597421 @default.
- W4310136638 cites W2028049831 @default.
- W4310136638 cites W2049701099 @default.
- W4310136638 cites W2049823803 @default.
- W4310136638 cites W2064961739 @default.
- W4310136638 cites W2083071829 @default.
- W4310136638 cites W2094464535 @default.
- W4310136638 cites W2103932736 @default.
- W4310136638 cites W2167560977 @default.
- W4310136638 cites W2783513223 @default.
- W4310136638 cites W2912763002 @default.
- W4310136638 cites W2946271622 @default.
- W4310136638 cites W2972609858 @default.
- W4310136638 cites W3163115646 @default.
- W4310136638 doi "https://doi.org/10.1097/sap.0000000000003331" @default.
- W4310136638 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36416699" @default.
- W4310136638 hasPublicationYear "2022" @default.
- W4310136638 type Work @default.
- W4310136638 citedByCount "1" @default.
- W4310136638 countsByYear W43101366382023 @default.
- W4310136638 crossrefType "journal-article" @default.
- W4310136638 hasAuthorship W4310136638A5009663380 @default.
- W4310136638 hasAuthorship W4310136638A5032561485 @default.
- W4310136638 hasAuthorship W4310136638A5044459413 @default.
- W4310136638 hasAuthorship W4310136638A5072769229 @default.
- W4310136638 hasAuthorship W4310136638A5080706274 @default.
- W4310136638 hasAuthorship W4310136638A5089053586 @default.
- W4310136638 hasConcept C136948725 @default.
- W4310136638 hasConcept C141071460 @default.
- W4310136638 hasConcept C2775862295 @default.
- W4310136638 hasConcept C2779705553 @default.
- W4310136638 hasConcept C2780140801 @default.
- W4310136638 hasConcept C71924100 @default.
- W4310136638 hasConceptScore W4310136638C136948725 @default.
- W4310136638 hasConceptScore W4310136638C141071460 @default.
- W4310136638 hasConceptScore W4310136638C2775862295 @default.
- W4310136638 hasConceptScore W4310136638C2779705553 @default.
- W4310136638 hasConceptScore W4310136638C2780140801 @default.
- W4310136638 hasConceptScore W4310136638C71924100 @default.
- W4310136638 hasIssue "6" @default.
- W4310136638 hasLocation W43101366381 @default.
- W4310136638 hasLocation W43101366382 @default.
- W4310136638 hasOpenAccess W4310136638 @default.
- W4310136638 hasPrimaryLocation W43101366381 @default.
- W4310136638 hasRelatedWork W2026715964 @default.
- W4310136638 hasRelatedWork W2041962537 @default.
- W4310136638 hasRelatedWork W2069063942 @default.
- W4310136638 hasRelatedWork W2095340179 @default.
- W4310136638 hasRelatedWork W2383404606 @default.
- W4310136638 hasRelatedWork W2430008051 @default.
- W4310136638 hasRelatedWork W3025204822 @default.
- W4310136638 hasRelatedWork W3030119178 @default.
- W4310136638 hasRelatedWork W3031293454 @default.
- W4310136638 hasRelatedWork W3030510653 @default.
- W4310136638 hasVolume "89" @default.
- W4310136638 isParatext "false" @default.
- W4310136638 isRetracted "false" @default.
- W4310136638 workType "article" @default.