Role of Perforator Flaps in Back Defects Reconstruction

Launched by ASSIUT UNIVERSITY · May 6, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at a type of surgery called "perforator flaps," which are used to repair back defects in children born with a condition called myelomeningocele. Myelomeningocele is a type of spina bifida, where the spine does not close properly, leading to a defect in the back. The study aims to compare two different surgical methods: one using just perforator flaps and the other using a combination of perforator and additional flaps.

The trial is open to children aged between 2 months and 1 year who have moderate to large defects on their back, specifically those measuring between 25 and 39 square centimeters. Unfortunately, children with larger defects, other types of myelomeningocele, or certain health issues won't be able to participate. If eligible, participants can expect to undergo surgery as part of the study and will be closely monitored to see how well each method works in repairing their back. The study is currently not recruiting patients, but it is an important step toward improving surgical options for children with this condition.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • infants up to one year,
• • dorso-lumbar myelomeningocele.
• • moderate to large myelomeningocele defects. (25 - 39 cm2 ) .
• Exclusion Criteria:
• • cervical myelomeningocele
• • very large defects (more than 40 cm2 )
• • preterm newborn patients.
• • hematological disease
• • any problem against prone position of the patient