Results of surgical treatment of myelomeningoceles in a small neurosurgical unit in the Zenica cantonal hospital

Abstract

Objective − To analyse the results of the surgical treatment of myelomeningocele in the Zenica Cantonal Hospital in a five-year period.

Patients and methods − This retrospective study included 10 patients with myelomeningocele, surgically treated at the Department of Neurosurgery, Zenica Cantonal Hospital, in the 2011-2016 period. Patients were assessed based on their history, symptoms and neurological state. In all cases we performed a detailed neurological examination and craniospinal Magnetic Resonance Imaging. In most cases we performed surgery within the first 72 hours after birth. In three patients we did not perform early surgery because the parents did not give consent for the operation in this period. All patients were hospitalized at the Department of Paediatrics, Zenica Cantonal Hospital. The patients were followed up by a neurosurgeon, a paediatric surgeon and a paediatrician.

Results − In our research, the incidence of myelomeningoceles in females and males was equal. In most cases the surgery is the most devastating congenital malformation compatible with survival. Newborns with late antenatal diagnosis must undergo surgery as soon as possible, preferably within 24-72 hours. Despite limited resources and conditions we documented a significant recovery in most patients.

Conclusion − Myelomeningocele is the most devastating congenital malformation compatible with survival. Newborns with late antenatal diagnosis must undergo surgery as soon as possible, preferably within 24-72 hours. Despite limited resources and conditions we documented significant recovery in most patients.