JPRAS Open (Sep 2018)

Repair of myelomeningocele using autologous amnion graft and local flaps. A report of two cases

  • Liv Schoellhammer,
  • Gudrun Gudmundsdottir,
  • Mikkel M. Rasmussen,
  • Puk Sandager,
  • Martin Heje,
  • Tine Engberg Damsgaard

Journal volume & issue
Vol. 17
pp. 9 – 14

Abstract

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Summary: We describe two cases where autologous amnion grafts were used to cover the neurosurgical repair of myelomeningocele (MMC) and the reconstructive flaps used for the skin defects.MMC is a severe fetal defect that evolves during embryonic development as a result of the neural tubes failure to close. In postnatal MMC closure, early timing of surgical repair is essential.We found that a free amnion graft is a viable choice in reconstructive surgery for myelomeningocele and that a multidisciplinary surgical team involving obstetrician, neurosurgeon and plastic surgeon is essential. Keywords: Myelomeningocele, Amnion, Reconstructive surgical procedures, Surgical flaps, Neurosurgery