Repair of myelomeningocele using autologous amnion graft and local flaps. A report of two cases

We describe two cases where autologous amnion grafts were used to cover the neurosurgical repair of myelomeningocele (MMC) and the reconstructive flaps used for the skin defects. MMC is a severe fetal defect that evolves during embryonic development as a result of the neural tubes failure to close. In postnatal MMC closure, early timing of surgical repair is essential. We found that a free amnion graft is a viable choice in reconstructive surgery for myelomeningocele and that a multidisciplinary surgical team involving obstetrician, neurosurgeon and plastic surgeon is essential.