Congenital Back Deformity: Meningomyelocele

 Meningomyelocele: Congenital Back Deformity

Meningomyelocele is a congenital condition characterized by the protrusion of both the meninges and the spinal cord through a defect in the spinal column. This condition typically presents as a sac-like protrusion containing the spinal cord, nerves, and cerebrospinal fluid.

Children born with such defects are prone to numerous problems starting from the day of their Birth.

Apart from the open spinal canal (bony defect) there may be exposed spinal nerves, spinal cord coverings (meninges) with CSF leak. There may or may not be skin present over the defect or the skin may be ulcerated with risk of impending exposure.

2 DAY OLD INFANT WITH IMPENDING EXPOSURE OF SPINAL CORD

Management : Team Work

Reconstructive surgeon (Plastic Surgeon)

Neurosurgeon

Orthopedician

Urologist

Pediatrician

Geneticist

Social worker

Treatment: Surgical closure of the defect and coverage with skin flaps

VY ADVANCEMENT FLAP AFTER DURAL COVER

AFTER SUTURE REMOVAL

There are numerous methods of closure of the skin defect and the choice has to be made according to the site of the lesion, the risk benefit ratio of various options available.

MYOCUTANEOUS FLAP COVERAGE OPTIONS

Surgery is not the endpoint of care. 

IT DOES IMPROVE THE 5 YEAR SURVIVAL FROM 10% IN UNTREATED INFANT TO 50% POST SURGERY.

DR. ASHISH GUPTA

DIRECTOR

DEPT OF PLASTIC, MICROVASCULAR & COSMETIC SURGERY,

DEEP HOSPITAL, LUDHIANA

BREAST RECONSTRUCTION: A LIFE SALVAGE PROCEDURE

 

BREAST RECONSTRUCTION: A LIFE

 SALVAGE PROCEDURE

POST BREAST CANCER RECONSTRUCTION

Body image is akin to self esteem for the woman of Today. Diagnosis of breast cancer once considered a death sentence has now transformed into a nearly curable disease with surgery, neo adjuvant chemo- radio therapy, hormonal treatment and prophylactic mastectomies.

Once all is done and the disease is gone, the lady standing infront of the mirror is left with a choice: To Behave Normal or To Become Normal. 

Acting to be normal after the psychological and surgical trauma of the disease takes its toll over time.

Today’s woman chooses to Become Normal and Plastic Surgery aids in achieving her Goal to Become Normal. The choices are numerous and the lady chooses with the surgical team what she desires. 

Immediate reconstruction of the breast as soon as the mastectomy is performed or delayed formation of the breast mould once all the treatment modalities have resulted in remission.

NUMEROUS OPTIONS FOR COMPLETE RECONSTRUCTION OF BREAST

We can recreate what is lost to disease with tissues that our own like Lat- dorsi Flap, TRAM Flap, Free Flaps from the abdomen and thighs or institute the help of silicone implants and/ or expanders.

AUTOLOGUS FLAPS AND MORE

The answer to your doubts is in discussion and the best decision shall ensue.

DR ASHISH GUPTA

SENIOR PLASTIC SURGEON

LUDHIANA

+91-9779771111

DOCASHISH2001@YAHOO.COM