Using the sac membrane to close the flap donor site in large meningomyeloceles  Cengiz Bozkurt, Selçuk Akın, Şeref Doğan, Erkut Özdamar, Selçuk Aytaç, Kaya Aksoy, Oktan Erol  British Journal of Plastic Surgery  Volume 57, Issue 3, Pages 273-277 (April 2004) DOI: 10.1016/j.bjps.2003.11.002

Figure 1 The sac membrane that was excised. British Journal of Plastic Surgery 2004 57, 273-277DOI: (10.1016/j.bjps.2003.11.002)

Figure 2 Preoperative appearance of the large thoracolumbar meningomyelocele defect in case 1. British Journal of Plastic Surgery 2004 57, 273-277DOI: (10.1016/j.bjps.2003.11.002)

Figure 3 Postoperative appearance of the flap donor site that was closed by the thinned sac membrane at 7 days after surgery, in case 1. British Journal of Plastic Surgery 2004 57, 273-277DOI: (10.1016/j.bjps.2003.11.002)

Figure 4 Postoperative appearances of the flap and donor site, in case 1. The flap donor site was well healed. (a) At 10 days after surgery. (B) At 18 months after surgery. British Journal of Plastic Surgery 2004 57, 273-277DOI: (10.1016/j.bjps.2003.11.002)

Figure 5 Postoperative appearances of the flap and donor site, in case 3. The donor site was closed by the thinned sac membrane. (A) At 10 days after surgery. (B) At 12 months after surgery. The donor site was well healed. British Journal of Plastic Surgery 2004 57, 273-277DOI: (10.1016/j.bjps.2003.11.002)

Figure 6 Microscopic appearance of the sac membrane in the meningomyelocele (H and E stain, ×16). It includes stratified squamous epithelial cells in its outer surface, and dilated vessels, fibrocollagenous tissue and neuroglial structures in its stroma. British Journal of Plastic Surgery 2004 57, 273-277DOI: (10.1016/j.bjps.2003.11.002)