Abstract
Background
There are fetuses demonstrating very large myelomeningocele lesion which can not be covered with autochothonous skin.
Material and Methods
We use Integra™ artifical skin for intrauterine coverage of the back lesion. A reverse latissimus dorsi flap was used postnataly to reinforce the repair site.
Conclusion
Integra™ appears to be a suitable coverage for large soft tissue defects in utero. Moreover, a postnatal reverse latissimus dorsi flap appears to markedly strengthen tissue coverage over a spinal cord rescued in utero.
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Meuli, M., Meuli-Simmen, C., Flake, A.W. et al. Premiere use of Integra™ artificial skin to close an extensive fetal skin defect during open in utero repair of myelomeningocele. Pediatr Surg Int 29, 1321–1326 (2013). https://doi.org/10.1007/s00383-013-3412-7
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DOI: https://doi.org/10.1007/s00383-013-3412-7