title: Repair of lumbosacral myelomeningoceles with double Z-rhomboid flaps. Technical note.
abstract: The authors describe a double Z-rhomboid technique for the closure of large lumbosacral myelomeningocele defects. After the dorsally displaced neural tissue has been reduced into the vertebral canal and a watertight closure of the dura lining the sac has been achieved, the skin defect is surgically converted to the shape of a rhombus. Equilateral Z-plasty flaps are elevated at the sides of the rhombus and transposed across the defect to secure wound closure. A successful experience with 10 consecutive cases of lumbosacral myelomeningoceles repaired with this technique is reported.
mesh_terms: D006801:Humans; D007231:Infant, Newborn; D008161:Lumbosacral Region; D008591:Meningomyelocele / Q000601:surgery*; D013524:Surgical Flaps