Primary closure of open myelomeningocele.

Abstract

OBJECT: The purpose of this paper is to describe the technique of closing an open myelomeningocele in the newborn infant. METHODS: The anatomical rationale behind the closure techniques will be specifically reviewed. Avoidance of complications will be discussed. The management of unusual developmental anatomical abnormalities, such as the management of unusually large skin defects and kyphotic deformities will be discussed. Complications and the postoperative care will be reviewed and specifics regarding postoperative care will be summarized. CONCLUSIONS: A multidisciplinary team approach is critical to the long-term management of these patients.