title: Use of dermal regeneration template to close a giant myelomeningocele in a newborn.
abstract: Many techniques are available to close a myelomeningocele, but large lesions can be particularly difficult to close given the absence of surrounding tissue. The authors present the case of a 2-day-old girl with a large lumbosacral myelomeningocele who underwent a staged repair using dermal regeneration template (DRT; Integra) followed by split-thickness skin grafting. The results demonstrated that the combined use of myofascial turnover flaps and DRT with delayed skin grafting is a safe, effective option for this challenging reconstructive dilemma.
authors: Division of Plastic and Reconstructive Surgery; and.
authors: William D
authors: WD
authors: North
authors: Department of Neurosurgery, University of Kentucky College of Medicine, Lexington, Kentucky.
authors: Laith
authors: L
authors: Khoury
authors: Department of Neurosurgery, University of Kentucky College of Medicine, Lexington, Kentucky.
authors: R
authors: R
authors: Christopher Spears
authors: Division of Plastic and Reconstructive Surgery; and.
authors: James Y
authors: JY
authors: Liau
authors: Department of Neurosurgery, University of Kentucky College of Medicine, Lexington, Kentucky.
authors: Thomas
authors: T
authors: Pittman
mesh_terms: D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008591:Meningomyelocele / Q000175:diagnosis* / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012038:Regeneration / Q000502:physiology; D016038:Skin Transplantation / Q000379:methods*; D017768:Skin, Artificial; D013524:Surgical Flaps / Q000502:physiology
keywords: DRT = dermal regeneration template; congenital; dermal regenerative template; myelomeningocele repair; spina bifida cystica