Management
In a retrospective review of 24 patients, DIPAF closure demonstrated advantages in protecting neural tissue, preventing cerebrospinal fluid (CSF) leakage, and reducing central nervous system infection rates [PMID:32666153].
Complications
The study found that closure techniques using fasciocutaneous skin flaps, such as DIPAF, resulted in reduced infection rates compared to primary closure methods [PMID:32666153].
Prognosis & Follow-up
Patients undergoing DIPAF closure experienced better protection of neural tissue, suggesting potentially improved long-term neurological outcomes compared to those managed with primary closure [PMID:32666153].
References
1 Atalay T, Oktay K, Guzel E, Tekes L, Solakhan M, Ozkiraz S et al.. Comparison of dorsal intercostal perforator artery flap and primary closure in myelomeningocele repair. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery 2021. link
1 papers cited of 3 indexed.