Analysis of the Short term Outcomes of Surgical Repair of Myelomeningocele

Background: Myelomeningocele (MMC) is the most frequent form of spina bifida.This congenital malformation is a debilitating condition in neonates that profoundly impacts their quality of life, posing challenges for both the family and the healthcare system.This study's primary goal is to provide an overview of our experience treating myelomeningocele in our community.It will shed light on the specific issues that these patients face immediately postoperatively and spur additional research into the treatment of myelomeningoceles.Methods: A retrospective analysis of 80 patients, who had surgical correction for myelomeningoceles in our department over 30 months was performed.Patients presenting to the hospital with complaints of myelomeningocele aged from 10 days to 2 years of age were included in the study.Patient demographics, preoperative imaging, and postoperative complications were recorded.Patients were monitored for one-month post-MMC repair to detect early postoperative complications. Results:The study of 80 patients revealed that 56.25% of cases were aged 3 to 9 months, with 56.25% of cases being female.Medium-sized MMCs (75%) were common and predominantly affected the lumbosacral region (50%).Hydrocephalus was present in 25(31.25%)cases while Lower limb power was affected in 55% of cases preoperatively.Postoperative complications were low: wound-related complications (16.25%),CSF leaks (7.25%), hydrocephalus (5%), and neurological deficits (2.5%).Outcomes showed 12.5% readmission, 10% re-surgery, one single death, and an average hospital stay of 6.4 days. Conclusion:The study concludes that early and meticulous surgical repair of myelomeningocele can lead to low complication rates and favourable outcomes; highlighting the success of comprehensive care strategies and the need for continuous improvement.It is necessary to conduct more research on preoperative strategies to reduce the risk of immediate postoperative complications and mortality.