Type of Surgery
Last updated: 02/17/2009
With current medical and surgical treatments, about 85% of infants survive, and about 50% will be able to walk. Bowel and bladder disorders contribute significantly to morbidity and mortality in those with spina bifida who survive past the age of two...
Meningocele repair is surgery to repair birth defects of the spine and spinal membranes. . For both meningoceles and myelomeningoceles, surgery consists of putting the spinal cord or nerve roots in their normal place and protecting them by closing the overlying meninges and skin.
A myelomeningocele should be closed within 24 hours of birth to prevent infection. A shunt is usually required to drain excess fluid. If the baby has fluid build-up in the brain, a shunt is usually put in when the myelomeningocele is repaired. Otherwise, most neurosurgeons wait about 3 days to place a shunt.
If hydrocephalus is present at birth and already causing problems, then the myelomeningocele repair and shunt are done at the same time.
After surgery, antibiotics are usually given to prevent infection.
Surgery for removal is generally advised for patients with limited cancer elsewhere in the body and a single brain metastasis.
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