Simplifying soft tissue closure of the large meningomyelocele defect: a technical note

J Plast Reconstr Aesthet Surg. 2008;61(2):192-4. doi: 10.1016/j.bjps.2007.07.006. Epub 2007 Aug 27.


The surgical management of large neural tube defects not amenable to primary closure poses a significant challenge. As a result, large residual skin defects often prompt excessively aggressive primary closure, complicated skin incisions, or flap advancements. However, our experience with the purse-string closure of a large meningomyelocele skin defect demonstrates that this technique can effectively provide coverage of very large meningomyelocele defects with minimal residual deformity. Here, we discuss the successful coverage of a large 5 x 5 cm meningomyelocele skin wound via staged purse-string closure spaced 2 weeks apart.

Publication types

  • Case Reports

MeSH terms

  • Biological Dressings
  • Dermatologic Surgical Procedures*
  • Humans
  • Infant, Newborn
  • Meningomyelocele / surgery*
  • Suture Techniques*