Free Style Pedicled Perforators Propellers Flaps for Meningomylocele Defects Reconstruction With Sequential Advance in Perforators Dissection
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Feasibility of reconstruction technique
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 1 Day 至 6 Months（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All cases with dorsolumbar meningomyelocele and age up to 6 months
排除标准
- •Infants older than 6 months
- •concomitant congenital anomalies
- •concomitant spinal kyphosis
研究组 & 干预措施
Dorsal intercostal artery (DICA) perforator flaps
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
干预措施: Freestyle pedicled perforators propellers flaps for meningomyelocele defects (Procedure)
Trapezius musculocutaneous perforator flaps
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.
干预措施: Freestyle pedicled perforators propellers flaps for meningomyelocele defects (Procedure)
Lumbar artery perforators flaps
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
干预措施: Freestyle pedicled perforators propellers flaps for meningomyelocele defects (Procedure)
结局指标
主要结局
Feasibility of reconstruction technique
时间窗: Time of procedure
Measure the average operative time in minutes in each arm.
Pedicle dissection beyond the muscle
时间窗: Time of procedure
Compare the number of pedicle dissection beyond the muscle in each group.
次要结局
- Meningomyelocele Repair Dehiscence and/or CSF leak(Time of procedure)
研究者
Mohamed Abdel-Tawab Mohamed
Lecturer
Assiut University