Early Outcome after Surgical Repair of Postnatal Myelomeningocele

Abstract

Introduction: Myelomeningocele repair is a relatively uncommon procedure. Much of this has been attributed to improve nutrition and early detection. Our aim is to detect early (30 days) outcome of pediatrict patients undergoing postnatal myelomeningocele repair. Material and Methods: The prospective observational study was carried out on 68 patients presented with myelomeningocele who underwent surgery with age ranged from one (1) month to two (2) years got admitted in the department of neurosurgery, Bangabandhu Sheikh Mujib Medical University from January 2020 to May 2023. Results: Maximum age was found 1 month to 3 months, female baby were predominant which was 40(58.8%), majority 48(70.6%) were medium size, common location were Dorsal (14.7%), Lumbar (45.6%) and Dorsolumbar (33.8%). CSF leak found (8.8%), decreased power of limbs found (38.2%), wound infection was found (5.9%), hydrocephalus found (39.7%), New hydrocephalus (2.9%) and New neurological deficit (1.5%). The duration of hospital stay 4.1±0.8 days. Conclusion: Most complications occur within 30 days of myelomeningocele repair. Wound infection was found in 5.9%. Mostly occurs between 1 to 3 months of age. Early repair of myelomeningocele reduces neurological impairment significantly.