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Successful repair of a very large spina bifida back lesion; technical details and comparison with other technical options as described in literature so far

Background

To highlight the technical details of a successful closure of a very large back lesion in Spina bifida, performed by us recently, and to review the literature on the subject

Materials and outcome

A 6-month old girl with a huge Meningomyelocele (20 cms × 15 cms) with a wide dural defect of almost similar dimensions recently underwent a successful back closure using a large dural graft and Fibrin glue. The entire interesting case history, the exact surgical details, the complications and the eventual successful outcome are depicted and discussed. Our method is compared to other surgical options and techniques described for such large lesions.

Results

The large lesion and wide dural defect could be successfully closed by use of Dural graft and Fibrin glue sealant.

Conclusion

It is possible to successfully close large lesions in a single stage with adequate use of dura graft.

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Correspondence to Santosh Karmarkar.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution 2.0 International License (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Karmarkar, S., Thakur, M. Successful repair of a very large spina bifida back lesion; technical details and comparison with other technical options as described in literature so far. Fluids Barriers CNS 3, S60 (2006). https://doi.org/10.1186/1743-8454-3-S1-S60

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Keywords

  • Dura
  • Successful Outcome
  • Case History
  • Technical Detail
  • Interesting Case