INTRODUCTION: Neural tube defects and associated tissues are classified as spinal dysraphism, being the most severe one the meningomyelocele. OBJECTIVES: To evaluate the efficacy of the bilateral bipedicled fasciocutaneous flap in the meningomyeloceles treatment. METHODS: Nine patients were operated on meningomyelocele from December 2006 to January 2009. The patients had a surgery correction performed in the first 36 hours of life, with the presence of Neurosurgery and Plastic Surgery teams. RESULTS: The main location of the defect was in the lumbosacral region (77.78%), followed by the thoracolumbar (11.11%) and the thoracic one (11.11%). In all the cases, the bilateral bipedicled fasciocutaneous flap was performed to close the defect. Discussion: The bilateral bipedicled fasciocutaneous flap was chosen owing to the security regarding vascularization, the shorter surgical time compared to muscles flaps, dissection facility, applicability and low rate of complications. CONCLUSION: The bilateral bipedicled fasciocutaneous flap is an adequate treatment for meningomyelocele.
Spinal dysraphism; Meningomyelocele; Surgical flaps
