Use of allogeneic skin graft for the closure of large meningomyeloceles: technical case report.

Abstract

To describe an alternative approach to the operative management of large meningomyeloceles, in which primary closure is not possible. Two full-term infants presented with very large meningomyeloceles for closure after an uncomplicated delivery. An allogeneic skin graft was used in both cases to approximate the skin defect that remained after removal of the large meningomyelocele sacs. The surgical site was treated with dressing changes only during the postoperative period. The independent use of allogeneic skin grafts can lead to a successful cosmetic result for the treatment of large meningomyeloceles without the use of complicated skin incisions or flap advancements.