Experience in the treatment of postoperative cerebrospinal fluid leakage followed by surgical management of a spinal meningocele combined with infection
10.3760/cma.j.issn.1009-4598.2019.10.015
- VernacularTitle: 一例脊膜膨出合并感染术后脑脊液漏的治疗经验
- Author:
Shanshan LI
1
;
Shan ZHU
1
;
Mengqing ZANG
1
;
Bo CHEN
1
;
Jie ZANG
2
;
Bingjian XUE
1
;
Tinglu HAN
1
;
Xiaojun LIU
3
;
Yulun XU
4
;
Yuanbo LIU
1
Author Information
1. 11th Department, Plastic Surgery Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100144, China
2. Department of Orthopedic Oncology, Peking University People′s Hospital, Beijing 100044, China
3. Department of Burns and Plastic Surgery, Suzhou Municipal Hospital, Suzhou 215000, China
4. Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
- Publication Type:Review
- Keywords:
Surgical flap;
Perforator flap;
Propeller flap;
Spinal meningocele;
Cerebrospinal fluid leakage
- From:
Chinese Journal of Plastic Surgery
2019;35(10):1027-1030
- CountryChina
- Language:Chinese
-
Abstract:
A 37-year-old woman presented with a congenital spinal meningocele for 37 years and ruptured for 6 months. She was admitted to the Plastic Surgery Hospital of the Chinese Academy of Medical Sciences in March 2018. The diameter of the lesion was about 10 cm, with purulent secretion and malodor. The superior gluteal artery perforator propeller flap was used to reconstruct the defect after the lesion resection. Part of the wound didn’t heal and cerebrospinal fluid leaked from the wound postoperatively. The wound eventually healed after wound debridement and drainage changing. Cerebrospinal fluid retention under the flap could result in wound dehiscence and cerebrospinal fluid leakage. The author introduced the treatment process and operative method. The preliminary experience in treating cerebrospinal fluid leakage after surgical management of the spinal meningocele was also summarized.
