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Erschienen in:

01.12.2013 | Original Article

Premiere use of Integra™ artificial skin to close an extensive fetal skin defect during open in utero repair of myelomeningocele

verfasst von: Martin Meuli, Claudia Meuli-Simmen, Alan W. Flake, Roland Zimmermann, Nicole Ochsenbein, Ianina Scheer, Luca Mazzone, Ueli Moehrlen

Erschienen in: Pediatric Surgery International | Ausgabe 12/2013

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Abstract

Background

There are fetuses demonstrating very large myelomeningocele lesion which can not be covered with autochothonous skin.

Material and Methods

We use Integra™ artifical skin for intrauterine coverage of the back lesion. A reverse latissimus dorsi flap was used postnataly to reinforce the repair site.

Conclusion

Integra™ appears to be a suitable coverage for large soft tissue defects in utero. Moreover, a postnatal reverse latissimus dorsi flap appears to markedly strengthen tissue coverage over a spinal cord rescued in utero.

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Titel: Premiere use of Integra™ artificial skin to close an extensive fetal skin defect during open in utero repair of myelomeningocele
verfasst von: Martin Meuli
Claudia Meuli-Simmen
Alan W. Flake
Roland Zimmermann
Nicole Ochsenbein
Ianina Scheer
Luca Mazzone
Ueli Moehrlen
Publikationsdatum: 01.12.2013
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 12/2013
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-013-3412-7

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Premiere use of Integra™ artificial skin to close an extensive fetal skin defect during open in utero repair of myelomeningocele