Why do spina bifida patients have a myelomeningocele repair later?

Myelomeningocele. Usually the repair of a myelomeningocele is delayed several days after birth to ensure that the child is stable for surgery and to also get a better assessment of potential neurologic deficits. As an adult, some patients develop spinal cord symptoms from tethering of the spinal cord prompting a procedure to release the tension on the spinal cord.

Related Questions

Why is it that spina bifida patients have a myelomeningocele repair later in life?

Spina bifida. Myelomeningoceles are almost always repaired within the first couple of days of life. The exception to that is unavailability of a surgeon to do it young leading to a later repair. The other situation where the family does not want it repaired. Read more...

I have myelomeningocele spina bifida I use senokot (senna) for bowel management once a week but it has stopped working is there anything else I can do?

Spina bifida. There are a number of other medications out there that can help you with the bowel movements. I would suggest seeing a gastroenterologist for an evaluation for possible other meds. Some of the larger universities have spina bifida clinics, you might want to check and see if there is one in your area. Read more...
There are a number. Of other medications for bowel movement, including the magic bullet if you are looking for suppository meds. If oral is preferred, can consider miralax, (polyethylene glycol) magnesium citrate for short term use only. Do you use any narcotic medications? These obviously can slow bowels and there is a new peripheral acting only Narcan that doesn't block pain but does clear bowels of opioid issues. Hope that helps! Read more...

I'm aware that spina bifida patients usually have the repair right at birth but why would they wait until later like age 8 to have the repair?

Spina bifida. Repair is typically done at birth, a delay repair would be done with there are no symptoms and full thickness skin coverage over the defect. A repair at age 8 likely means the child was becoming symptomatic, most likely a tethered cord syndrome. Read more...