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ISSN 1684-1824 (Electronic)

2017, Number 2

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Rev Méd Electrón 2017; 39 (2)

Precocious surgery in preventing the sepsis of newborn with meningomyelocele

Rodríguez RE, Pérez OL, Hernández RG, Castillo SAI

Language: Spanish
References: 21
Page: 322-329
PDF size: 336.72 Kb.


ABSTRACT

Meningomyelocele is a congenital malformation by defect of neural tube closing, produced in the first weeks of intrauterine grow. It is a cystic mass that includes nervous tissues and meninges, together with an incomplete fusion of the vertebral arches. It produces severe neural damages and could be associated to other malformations. It is necessary to repair it during the first hours after birth to avoid complications that could compromise the child’s life or cause more disability. The case of a new-born child diagnosed with fissured meningomyelocele at the lumbar level is presented. He was operated in the first six hours after birth; the dural sac was dissected and the roots separated, reaching the complete dura mater closure. The skin was repaired with edges affronting and adequate wound healing. Prophylactic antibiotic therapy with third generation cephalosporin was applied. The child was discharged 10 days alter the surgery without associated neurosurgical complications.


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