Mielomeningocele lumbar en recién nacido: descripción paso a paso de la técnica quirúrgica abierta

Alberto Ramírez Espinoza; Esther Velarde Llerena; Yosimar Coasaca Tito

doi:10.59594/iicqp.2024.v2n1.79

Authors

Alberto Ramírez Espinoza Sub Unidad de Atención Integral Especializada del Paciente de Neurocirugía. Instituto Nacional de Salud del Niño San Borja, Lim,a, Perú https://orcid.org/0000-0003-3530-5704
Esther Velarde Llerena Sub Unidad de Atención Integral Especializada del Paciente de Neurocirugía, Instituto Nacional de Salud del Niño San Borja, Lima, Perú https://orcid.org/0009-0008-3617-8915
Yosimar Coasaca Tito Sub Unidad de Atención Integral Especializada del Paciente de Neurocirugía, Instituto Nacional de Salud del Niño San Borja, Lima, Perú

DOI:

https://doi.org/10.59594/iicqp.2024.v2n1.79

Keywords:

Myelomeningocele, Infant, Newborn, Spinal Dysraphism

Abstract

Myelomeningocele (MMC) represents a primary failure of neurulation, the process through which the neural tube forms, leading to the exposure of the spinal cord segment at the patient's back. It is considered the most severe malformation of the central nervous system compatible with life, typically occurring between days 20 to 28 of gestation. The incidence of myelomeningocele ranges approximately from 0.7 to 0.8 per 1000 live births, a rate that varies depending on the region. Achieving surgical treatment and complete closure of myelomeningocele pose significant challenges, as does its postoperative evolution without complications. Various surgical techniques have been described for myelomeningocele closure, ranging from simple to more complex approaches. In this study, we provide a step-by-step description of a surgical technique employed for treating a newborn patient diagnosed with MMC. We consider that this technique can be applied to both simple and complex myelomeningoceles.

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