脊髄髄膜瘤修復術

Repair Surgery of Myelomeningocele

Point

・出生後48時間以内の修復術が望まれる．

・変成した皮膚，皮下組織を十分に切除するとともに脊髄後根の損傷に注意する．

・確実に十分な硬膜形成を行う．

・閉創は無理をせずに形成外科医に相談をする．

　Meningomyelocele is the most common disease of the spina bifida, and repair surgery is recommended within the first 48 hours of life to prevent infection and secondary neurological damage. The basic surgical approach is a five-layer closure that closes the five layers of the spinal cord, dura matter, fascia, subcutaneous tissue, and skin. Comprehending the relationship between normal anatomy of the spinal cord and myelomeningocele is key. In this section, we discuss the basic repair surgery of meningomyelocele by describing the surgery of lumbosacral meningomyelocele.