Large thoracolumbar meningomyelocele defects: incidence and clinical experiences with different modalities of latissimus dorsi musculocutaneus flap  Hamdy A El-khatib  British Journal of Plastic Surgery  Volume 57, Issue 5, Pages 411-417 (July 2004) DOI: 10.1016/j.bjps.2003.12.035

Figure 1 Schematic illustration of different procedures. British Journal of Plastic Surgery 2004 57, 411-417DOI: (10.1016/j.bjps.2003.12.035)

Figure 2 (A) A newborn male with a large meningomyelocele. (B) Elevation of the distally based Latissimus dorsi, skin island-muscle pedicle flap. (C) One-year postoperative, stable wound healing is demonstrated. British Journal of Plastic Surgery 2004 57, 411-417DOI: (10.1016/j.bjps.2003.12.035)

Figure 3 (A) The thoracolumbar meningomyelocele in 2-day-old female infant. (B) The defect following the dural and neural tube repair. (C) Elevation of proximally based latissimus dorsi, skin island-muscle pedicle flap. (D) Result two months after surgery. British Journal of Plastic Surgery 2004 57, 411-417DOI: (10.1016/j.bjps.2003.12.035)

Figure 4 (A) Three-day-old male infant sustained a huge thoracolumbar meningomyelocele. (B) Two years after bilateral bipedicle latissimus dorsi myocutaneous flap reconstruction. Very stable wound healing is shown. British Journal of Plastic Surgery 2004 57, 411-417DOI: (10.1016/j.bjps.2003.12.035)