Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
40 participants
INTERVENTIONAL
2019-01-01
2021-11-01
Brief Summary
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Detailed Description
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The estimated incidence of spina bifida is 1-2 cases per 1000 population. Meningomylocele soft tissue defect reconstruction is considered a lifesaving procedure , the ideal coverage technique should be time limited , reliable and allow healing line to be away from repair of the dura . all of these criteria are available in the selection of free style propeller perforator flap as a method of reconstruction.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Dorsal intercostal artery (DICA) perforator flaps
Retrograde dissection of free style perforator arising from DICA according to region of dorsal spine and identification of paraspinal muscle where perforator vessel was found
Freestyle pedicled perforators propellers flaps for meningomyelocele defects
Freestyle pedicled perforators propellers flaps for meningomyelocele defects reconstruction with sequential advance in perforators dissection, large number cases, and detailed successful technique.
Trapezius musculocutaneous perforator flaps
Retrograde dissection of a free style perforator arising as a trapezius myocutenous perforator where the trapezius muscle is identified and a perforator vessel was isolated.
Freestyle pedicled perforators propellers flaps for meningomyelocele defects
Freestyle pedicled perforators propellers flaps for meningomyelocele defects reconstruction with sequential advance in perforators dissection, large number cases, and detailed successful technique.
Lumbar artery perforators flaps
Retrograde dissection of free style perforator arising from lumbar artery according to region of lumbar spine and identification of lumbar fascia where perforator vessel was found
Freestyle pedicled perforators propellers flaps for meningomyelocele defects
Freestyle pedicled perforators propellers flaps for meningomyelocele defects reconstruction with sequential advance in perforators dissection, large number cases, and detailed successful technique.
Interventions
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Freestyle pedicled perforators propellers flaps for meningomyelocele defects
Freestyle pedicled perforators propellers flaps for meningomyelocele defects reconstruction with sequential advance in perforators dissection, large number cases, and detailed successful technique.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* concomitant congenital anomalies
* concomitant spinal kyphosis
1 Day
6 Months
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Mohamed Abdel-Tawab Mohamed
Lecturer
Principal Investigators
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Mohamed K Kamel
Role: PRINCIPAL_INVESTIGATOR
Assiut University
Awni M Shawkat, MD
Role: STUDY_CHAIR
Assiut University
Mahmoud A Mohamed
Role: STUDY_DIRECTOR
Assiut University
Locations
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Mohamed Abdeltawab
Asyut, , Egypt
Countries
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References
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Kushida-Contreras BH, Gaxiola-Garcia MA. Myelomeningocele defect reconstruction with keystone flaps: vascular rationale for the design and operative technique. Arch Plast Surg. 2021 May;48(3):254-260. doi: 10.5999/aps.2020.01746. Epub 2021 May 15.
Formentin C, de Andrade EJ, Matias LG, Joaquim AF, Tedeschi H, Raposo-Amaral CE, Ghizoni E. Using the keystone design perforator island flap in large myelomeningocele closure. Neurosurg Focus. 2019 Oct 1;47(4):E19. doi: 10.3171/2019.7.FOCUS19383.
Kesan K, Kothari P, Gupta R, Gupta A, Karkera P, Ranjan R, Mutkhedkar K, Sandlas G. Closure of large meningomyelocele wound defects with subcutaneous based pedicle flap with bilateral V-Y advancement: our experience and review of literature. Eur J Pediatr Surg. 2015 Apr;25(2):189-94. doi: 10.1055/s-0034-1368796. Epub 2014 Mar 28.
Other Identifiers
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propellers flap
Identifier Type: -
Identifier Source: org_study_id
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