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Spina Bifida (myelodysplasia) - MDC Faculty Home Pages

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Therapeutic Management:<br />

surgery<br />

Various neurological and plastic surgical<br />

procedures can be used for skin closure<br />

without disturbing the neural elements or<br />

removing any portion of the sac<br />

Vesicostomy: stoma created on abdominal<br />

wall for urinary drainage<br />

Pre Pre-Operative Operative Care: if<br />

menigocele or mylomeningocele<br />

Assess spinal column for defect<br />

Monitor vital signs and neuro status<br />

Protect the sac: cleanse using sterile<br />

technique and sterile normal saline saline-cover cover<br />

with sterile saline moistened gauze<br />

Pre Pre-Operative Operative Care<br />

No diapers diapers-padding padding underneath<br />

Gentle handling with feeding<br />

Avoid pressure on sac<br />

8

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