ISSN: 2329-9096
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Department of Physiatrist, AACD (Association for Assistance to Children with Disabilities), Sao Paulo, Brazil
Research Article
Comparison between Intrauterine and Postnatal Myelomeningocele Repair Surgery: A Retrospective Longitudinal Study in Brazil
Author(s): Anny Michelly Paquier Binha*, Letícia Miti Kuwae and Irina Hissami Yamamoto de Barros
Introduction: Myelomeningocele is one of the most common types of closed neural tube defect. Repair of this malformation should be conducted as early as possible to avoid contamination with the external environment. In 2011, an American randomized clinical trial was carried out showing there are neurological benefits in performing intrauterine surgery compared to postnatal surgery, with fewer cases of cerebrospinal fluid shunt and hindbrain herniation. In Brazil, this technique is not yet widespread and many services perform repair after birth.
Objective: To describe the epidemiological profile of individuals with myelomeningocele seen in an initial consultation, in a rehabilitation network in Brazil, between 2021 and 2023, with an emphasis on reducing cerebral herniation and fewer cases of hydrocephalus with ventriculoperitoneal shunt.
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DOI:
10.35248/2329-9096.24.12.717