[Double-cross repair in spinal hernias in children].
The double-cross plasty with preservation of tunics and placement their edges under the back muscles has been developed and clinically used in 31 cases for prevention of hydrocephalus and firm defect closing in patients with spinal hernia. Muscular-fascial plasty has been used in 84 patients of the control group. Ultrasound examination of hernia sac and the brain itself has been done prior to the surgery. The histological analyses of hernia sac's wall has been done to determine the optimal age for performing surgery. According to the results of the study this age is 10 days, 4, 6 and 8 months. Tunics are more firm and well vascularize to these times. In elder patients the tunics will vascularize to these times. In elder patients the tunics will scar and that will cause disorders of haemo-liquor circulation. According to the results of clinical cases this method may be recommended for clinical use because of hydrocephalus stabilization.
Kononov
V S
VS
Maĭtikov
K K
KK
D002648:Child; D002675:Child, Preschool; D059685:Herniorrhaphy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009493:Neurosurgery / Q000379:methods*; D013118:Spinal Cord Diseases / Q000601:surgery*; D016896:Treatment Outcome