Background: A plenty of options have been described for
reconstruction of large myelomeningocele defects. We reported
our experience of using bipedicled subcostal and lumbar
arteries perforator flap.
Material and Methods: During a period of 31 months 23
neonates with large myelomeningocele defects were reconstructed
with unilateral bipedicled subcostal and lumbar artery
perforator flaps. We did not report any total flap loss.
Results: Only one flap suffered distal necrosis that becomes
well after debridement and re-suturing. All donor sites
were closed primary.
Conclusion: Our study confirmed reliability of bipedicled
subcostal and lumbar artery perforator flaps in reconstruction
of large myelomeningocle defects.