Meningomyelocele closure with distally based latissimus dorsi flap

Plast Reconstr Surg. 1984 Jun;73(6):956-9. doi: 10.1097/00006534-198406000-00019.


Our experience with the distally based latissimus dorsi flap in 12 patients (7 primary closures and 5 secondary procedures) indicates that it is an extremely reliable and useful flap in this setting. It provides coverage of the dural repair with viable soft tissues under a minimum of tension. The suture lines are distant from the dural closure, the donor defect closes primarily, and in the event of a complete failure, the contralateral latissimus dorsi remains available. In those cases of meningomyelocele where direct primary closure is not possible, we view this as the procedure of choice.

MeSH terms

  • Back
  • Follow-Up Studies
  • Humans
  • Infant, Newborn
  • Meningomyelocele / surgery*
  • Methods
  • Middle Aged
  • Muscles / surgery
  • Spina Bifida Occulta / surgery
  • Surgery, Plastic / methods
  • Surgical Flaps*