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Craniofacial/Neurosurgery: A Multidisciplinary Approach to the Repair of Meningoencephaloceles in a Third World Country

Hack, Judith; Pieper, Daniel

Journal of Neuroscience Nursing: August 2011 - Volume 43 - Issue 4 - p E6-E9
doi: 10.1097/JNN.0b013e3182212adc

ABSTRACT The repair of meningoencephaloceles in a third world country does not have to be an unrealized goal. Utilizing a team of specialized experienced physicians to provide the treatment, patient selection, comprehensive planning for all surgical variability, and cooperative management of the patients postoperatively with the hosting physicians is essential to the success of these surgeries. In 2007, a team of physicians, including a neurosurgeon, a craniofacial surgeon, a neurosurgical resident, and nursing personnel, traveled for the first time to Davao, in the Philippines, to repair and reconstruct four patients with meningoencephalocele. The planning, surgical approach, and outcome of the repair of this defect are discussed in this article.

The authors describe the work of a multidisciplinary medical mission team who traveled to the Philippines to repair meningoencephaloceles and provide reconstructive facial surgery following the repair. Included in the report as supplemental digital content are photographs that clearly illustrate the scope of their work. Supplemental digital content is available in the article.

Questions or comments about this article may be directed to Judith Hack, RN, at She is with the Michigan Head and Spine Institute, Royal Oak, MI.

Daniel Pieper, MD, is in Neurosurgery with the Michigan Head and Spine Institute and William Beaumont Hospital, Royal Oak, MI.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

© 2011 American Association of Neuroscience Nurses