|Other titles||Journal of bone and joint surgery.|
|Statement||B.T. Smyth ... [et al.].|
|Contributions||Smyth, B. T.|
|The Physical Object|
John W, Sharrard W, Zachary RB, Lorber J, Bruce AM. A Controlled Trial of Immediate and Delayed Closure of Spina Bifida Cystica. Arch Dis Child. Feb; 38 ()– [PMC free article] [Google Scholar] Smith GK, Smith ED. Selection for treatment in spina bifida cystica. Br Med J. Oct 27; 4 Cited by: Smyth BT, Piggot J, Forsythe WI, Merrett JD () A controlled trial of immediate and delayed closure of myelomeningocele. J Bone Joint Surg Br – PubMed Google Scholar Cited by: 9. Original Article from The New England Journal of Medicine — A Randomized Trial of Prenatal versus Postnatal Repair of Myelomeningocele controlled trials. myelomeningocele by: John W, Sharrard W, Zachary RB, Lorber J, Bruce AM. A Controlled Trial of Immediate and Delayed Closure of Spina Bifida Cystica. Arch Dis Child. Feb; 38 ()– [Europe PMC free article] [Google Scholar] Tsingoglou S, Forrest DM. A technique for the insertion of Holter ventriculoatrial shunt for infantile hydrocephalus.
The primary closure can be performed on clean and small defects with an intact sac, and bilateral V–Y fasciocutaneous flaps are a good choice for immediate coverage of myelomeningocele defects. With custom-made solutions and teamwork, complications can be by: 7. Since Sharrard and colleagues published their study in , repair of MMC has been considered a surgical emergency. 3 Closure of the MMC within 48 h has been shown to maximise neurological salvage and to facilitate CSF shunting by preventing infection and neural desiccation. 1 After the neurosurgical repair stable skin coverage can, in the majority of cases, be obtained by simply undermining the skin edges to allow for a tension-free by: Sharrard WJW, Zachary RB, Lorber J, Bruce AM () A controlled trial of immediate and delayed closure of spina bifida cystica. Arch Dis Child 18–22 Google ScholarCited by: A baby was born 2 hours ago by Cesarean section. The newborn has a myelomeningocele with the sac intact and has been placed in an incubator. The nurse, when planning care for the baby, should focus on potential for: A. Disuse syndrome B. Infection C. Fluid volume deficit D. Decreased cardiac output.
Sharrard WJW, Zachary RB, Lorber J, et al: A controlled trial of immediate and delayed closure of spina bifida cystica. Arch Dis Child ;– PubMed CrossRef Google ScholarAuthor: Randall D. Wilhoit. It is unknown whether myelomeningocele closure performed within 48 hours of birth decreases the risk of wound infection. If myelomeningocele closure is delayed beyond 48 hours, antibiotic therapy should be initiated. Whether ventricular size and morphology affect neurocognitive development is unknown. In cases of immediate closure, these conditions promote wound healing, and in cases of delayed closure the promotion of granulation tissue formation prepares the wound bed for subsequent coverage. In addition, in cases of delayed coverage, the use of VAC may reduce the need for tissue transfer and muscle flaps .Cited by: 7. Experience with various reconstructive techniques for meningomyelocele defect closure in India. et g-latissimus dorsimyocutaneous flap for closure of myelomeningocele. Childs Brain, 10 (), pp. W. John, W. Sharrard, R.B. Zachary, J. Lorber, A.M. BruceA controlled trial of immediate and delayed closure of spina bifida Author: Mukesh Kumar Sharma, Naveen Kumar, Manoj K Jha, Umesh N, R.K. Srivastava, Sameek Bhattacharya.