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Başlık: Retrospective analysis of early- and late-operated meningomyelocele patients
Yazarlar: Türedi, Bilge
Altunyuva, Oğuz
Bursa Uludağ Üniversitesi/Tıp Fakültesi/Nöroşirürji Anabilim Dalı.
Bursa Uludağ Üniversitesi/Tıp Fakültesi/Çocuk Ürolojisi Anabilim Dalı.
Bursa Uludağ Üniversitesi/Tıp Fakültesi/Çocuk Cerrahisi Anabilim Dalı.
0000-0001-5472-9065
Taşkapılıoğlu, Mevlüt Özgür
Utangaç, Mehmet Mazhar
Balkan, Mehmet Emin
Kılıç, Nizamettin
AAW-5254-2020
AAI-3656-2021
ABB-8161-2020
25936798300
56491004200
41661142300
7005266570
Anahtar kelimeler: Meningomyelocele
Spina bifida
Late repair
Myelomeningocele repair
Outcomes
Time
Neurosciences & neurology
Pediatrics
Surgery
Yayın Tarihi: 6-Ağu-2020
Yayıncı: Springer
Atıf: Taşkapılıoğlu, M. Ö. vd. (2021). "Retrospective analysis of early- and late-operated meningomyelocele patients". Childs Nervous System, 37(2), 539-543.
Özet: Purpose Myelomeningocele (MMC) is one of the commonest congenital malformations. Hydrocephalus develops in 65-85% of cases with MMC. Only 3-10% of MMC patients have normal urinary continence. We aim to investigate the effects of early and late operation in MMC patients in terms of development of hydrocephalus, motor deficits, and bladder functions. Methods Medical records of MMC patients operated between January 2008 and December 2014 were reviewed retrospectively. Results We retrospectively investigated patients' records of 43 patients. Twenty of the patients were operated within the first 48 h after the delivery (early repair group), while 23 of the patients were operated after 48 h of delivery (late repair group). In the early repair group, 15 patients were operated due to hydrocephalus. Urodynamic problems were detected in 17 (85%) patients. In the late repair group, shunts were placed in 14 (61%) patients during follow-up period and urodynamic problems were detected in 19 (82.6%) patients. Mean operation time for the late group was 4.6 months. There was no statistical difference between the early and late group in terms of neurological and urodynamic deficits. The mean follow-up period was 45.5 months. Conclusion In the literature, surgery in the first 48 h of life is recommended for MMC patients. There was no difference between the early- and late-operated groups by means of hydrocephalus, urodynamic functions, and motor deficits in our study. Late surgery of intact sacs may avoid complications related to surgery in the neonatal period.
URI: https://doi.org/10.1007/s00381-020-04860-8
https://link.springer.com/article/10.1007/s00381-020-04860-8
http://hdl.handle.net/11452/29634
ISSN: 0256-7040
Koleksiyonlarda Görünür:PubMed
Scopus
Web of Science

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