Myelomeningocele closure by unilateral lumbar artery perforator flap: Experience with thirty‐eight patients

Uçak, Murat

doi:10.1002/micr.30348

Cited by 3 publications

(4 citation statements)

References 24 publications

(29 reference statements)

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“…It is known that the female gender is also a risk factor that increases mortality [9][10][11] . Of those, 17 of patients were female, and 19 were male (p>0,05).…”

Section: Discussionmentioning

confidence: 99%

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The effect of the number of vessel grafts used in coronary artery bypass grafting surgery to short-term mortality

Ulular

2020

Cukurova Medical Journal

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ÖzPurpose: The study aimed to share the short-term mortality rates of coronary artery bypass grafting (CABG) experience in a private hospital and to evaluate parameters affecting the clinical outputs following the CABG who were divided according to the number of vessel graft. Materials and Methods:The study is a longitudinal-term observational clinical study, with a patient follow-up period of 7 years in Turkey. We analyzed 3027 cases with outcomes and short-term mortality according to the number of vessel grafts that we used as 1 (n:608), 2-3 (n:1359), and four or more (n:1060) grafts. Results: The short-term mortality was found as 1.1% (36/3027) in all the patients. The male population was the highest in the group with the highest number of vascular grafts and its percentage to females was correlated with vessel grafts that we performed. Mean aortic cross-clamp time was 36.6±17.2 minutes, while bypass time was 66.4±21 minutes. The mean number of vessels revascularized was 3.17±0.9 (1-7). The amount of drainage was 419±286 ml. The period of intensive care was 1.2±1.1 days, while the hospital period was 5.2±1.5days. In comparison according to the number of vascular grafts, positive inotrope agent, drainage, blood supply, crossclamp and pump period showed significant difference. Conclusion:The number of vessel grafts was related to clinical outputs of CABG operations and Our CABG in the private hospital reached the short-term mortality rates that were below the averages of Turkey and international operations. Amaç: Çalışmada, özel bir hastanede koroner arter baypas greftleme (KABG) deneyiminin kısa dönem mortalite oranlarının paylaşılması ve damar grefti sayısına göre bölünen KABG sonrası klinik sonuçlarını etkileyen parametreleri değerlendirmeyi amaçladık. Gereç ve Yöntem: Çalışma, Türkiye'de 7 yıllık hasta takip süresi olan, uzun süreli gözlemsel bir klinik çalışmadır. 1 (n:608), 2-3 (n:1359) ve dört veya daha fazla (n:1060) greft olarak kullandığımız damar greftlerinin sayısına göre sonuçları ve kısa vadeli mortalitesi olan 3027 vakayı analiz ettik. Bulgular: Kısa dönem mortalite tüm hastalarda 1,1% (36/3027) olarak bulundu. Erkek popülasyonu en fazla damar grefti olan grupta en yüksek idi ve kadınlara oranı yaptığımız damar greftleriyle korele idi. Ortalama aortik kros klemp süresi 36.6±17.2 dakika, baypas süresi 66.4±21 dakika idi. Revaskülarize edilen damar sayısı ortalama 3,17±0,9 (1-7) idi. Drenaj miktarı 419±286 ml idi. Yoğun bakım süresi 1,2±1,1 gün, hastanede kalma süresi 5,2±1,5 gün idi. Vasküler greft sayısına göre karşılaştırıldığında pozitif inotrop ajan, drenaj, kan temini, kros klemp ve pompa periyodu anlamlı farklılık gösterdi. Sonuç: Damar grefti sayısı KABG ameliyatlarının klinik sonuçları ile pozitif ilişkiliydi. KABG sonuçlarımız başarılı olarak Türkiye ve uluslararası ameliyat ortalamalarının altında kısa dönem mortalite oranlarına ulaştı.

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“…It is known that the female gender is also a risk factor that increases mortality [9][10][11] . Of those, 17 of patients were female, and 19 were male (p>0,05).…”

Section: Discussionmentioning

confidence: 99%

“…Coronary artery bypass surgery can be performed safely by an experienced team using advanced technology in addition to the timing of the surgery 7,8 . Determining additional risk factors and predicting the possible complications of these factors increases the success of the surgery [9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

The effect of the number of vessel grafts used in coronary artery bypass grafting surgery to short-term mortality

Ulular

2020

Cukurova Medical Journal

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“…To our knowledge, the present case is the lowest reported weight (490 g) for a neonate with postnatal MMC repair. A review of the literature showed a case report of myeloschisis repair in a neonate weighing 599 g and an MMC repair in a neonate weighing 570 g. 5 , 6 Aside from demonstrating technical feasibility, these cases add to the larger discussion regarding optimal closure timing together with a complex balancing of surgical risks in a fragile population.…”

mentioning

confidence: 99%

Postnatal myelomeningocele closure in smallest reported neonate: illustrative case

Mohis,

Cordeiro,

Larson

et al. 2024

Journal of Neurosurgery: Case Lessons

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BACKGROUND Myelomeningocele (MMC) is the most serious form of spina bifida, a congenital defect in neural tube development. Defect closure in a patient with an extremely low birth weight presents unique challenges and risks; lower birth weight is associated with multiple organ system concerns, homeostasis is difficult, and local tissue is underdeveloped. To the authors’ knowledge, the present case is the lowest reported weight (490 g) for a neonate with postnatal MMC repair. OBSERVATIONS A preterm male with a prenatally diagnosed lumbosacral MMC and associated Chiari malformation type II was born at 23 weeks 1 day to a 29-year-old mother, gravidity 6 parity 4. The patient was medically stabilized and underwent MMC closure on day of life 5. His weight was 490 g at the time of this repair, and he did not have any surgical complications. At age 16 months, he underwent endoscopic third ventriculostomy with choroid plexus cauterization; he has not required any further hydrocephalus treatments since the last follow-up at 30 months of age. LESSONS To the authors’ knowledge, this case is the lowest birth weight ex utero MMC closure reported in the literature. Challenges of prematurity and size required appropriate preoperative stabilization, careful hemostasis and temperature regulation, and meticulous surgical technique.

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“…which is accepted as the most critical reason for spinal surgery (29). With the deterioration of a systemic or functional unit, compensation mechanisms develop to provide the sagittal balance against changes in the spine (1,33).…”

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confidence: 99%

Inflammatory events in patients with sagittal imbalance through platelet-associated inflammation

Acarbaş

2020

Turkish Neurosurgery

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AIM: To determine whether platelet-associated inflammation parameters (PAIP) could be useful for evaluating inflammation in sagittal imbalance (SI) by investigating its relationship with pelvic tilt (PT), sacral slope (SS), pelvic incidence (PI), lumbar lordosis (LL) and thoracic kyphosis (TK). MATERIAL and METHODS: The study included 57 patients (19 males, 38 females) who were diagnosed with SI and 44 healthy control subjects. Spinal sagittal balance was evaluated using digitalized-standing lumbar lateral radiographs of the patients. All parameters including SS, PI, LL and PT were evaluated through from the lateral radiographs. RESULTS: In the analysis, Mean Platelet Volume (MPV) (10.6 ± 0.9; p<0.0001), Platelet Distribution Width (PDW) (12.7 ± 2.2; p<0.001) and Platelet Distribution Width (RDW) (41.9 ± 4.4; p<0.0001) were observed to be much higher in the SI than in the control. The neutrophil-lymphocyte ratio (NLR) was higher in the SI group (p=0.033), and no difference was determined in respect of the platelet-lymphocyte ratio (PLR) (p>0.05). The PT had a positive correlation with hospital length of stay in SI patients (r=0.655; p=0.008). MPV showed a strong positive correlation with comorbidity (r=0.715; p=0.001). A positive correlation was determined between NLR and PLR (r=0.692; p=0.002), and between MPV and RDW (r=0.788; p=0.001). No correlation was determined between the PAIP and radiological measurements (PI, PT, SS) that were used for SI. CONCLUSION: The results suggest that the neurosurgical approach should cover not only the sagittal parameters and their angles but also PAIP showing inflammatory events originating from platelets.

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Myelomeningocele closure by unilateral lumbar artery perforator flap: Experience with thirty‐eight patients

Abstract: As a result, unilateral lumbar perforator flap can be performed successfully in every center. This report suggests using LAPF for reconstruction of meningomyelocele by surgeons as a safe and reliable option, allowing surgeons strong results.

Cited by 3 publications

References 24 publications

The effect of the number of vessel grafts used in coronary artery bypass grafting surgery to short-term mortality

The effect of the number of vessel grafts used in coronary artery bypass grafting surgery to short-term mortality

Postnatal myelomeningocele closure in smallest reported neonate: illustrative case

Inflammatory events in patients with sagittal imbalance through platelet-associated inflammation

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