Fetofetal Transfusion Syndrome in Monochorionic-Triamniotic Triplets Treated with Fetoscopic Laser Ablation: Report of Two Cases and A Systematic Review
Conclusion Significant neonatal survival can be achieved in most cases of MT triplets with FFTS.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:Table of contents | Abstract | open access Full text
Abstract Twin to twin transfusion syndrome (TTTS) is a major complication of monochorionic diamniotic (MD) twins, and its onset is known to be associated with placental vascular anastomoses and blood flow imbalance. In a typical case of TTTS, the recipient develops polyhydramnios, weight gain, cardiomegaly and hydrops fetalis in the uterus. In contrast, the donor develops oligohydramnios and intrauterine growth restriction. Recently, the significance of the renin-angiotensin-aldosterone system (RAAS) that transfers from the donor to the recipient has attracted interest in the fetal circulation of TTTS. The donor h...
CONCLUSION: FLP requires a highly specialised team and tertiary neonatal facility. Continual training improves maternal and perinatal outcomes, ensuring comparable standards with international centres. PMID: 31489429 [PubMed - as supplied by publisher]
Conclusion: Surgical planning of the gravid patient undergoing laparoscopic surgery should include demarcation of the most superior aspect of the uterine fundus, either via physical examination or, if not conclusive, via preoperative or intraoperative ultrasound. PMID: 31427852 [PubMed - in process]
Conclusion Only 2 of the 16 videos included all five areas of content that were evaluated, and both were in regard to open fetal repair. This study not only calls attention to the initial shortcomings of YouTube videos regarding fetal surgery for neural tube defects but also demonstrates the need for further investigation and more comprehensive analysis. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text
Seminars in Plastic Surgery 2019; 33: 204-212 DOI: 10.1055/s-0039-1693431Scarless healing has long been the holy grail for plastic surgery. While historically fetal surgery has tempted plastic surgeons with the allure of scarless correction of congenital abnormalities, the risks far outweighed the benefits and these interventions never materialized. Current advances in fetal surgery with minimally invasive fetoscopic surgery have made these early fetal interventions safer, leading to expanding applications. While the plastic surgeon's role is limited as of yet, this article provides a review of the history of fetal surgery...
(Abstracted from Prenat Diagn 2019;39(4):251–268) Fetal therapy options have expanded, and surgery on the fetus, placenta, or cord is now relatively common in tertiary-level fetal medicine units. Fetal therapy is almost exclusively offered to mothers who are healthy themselves, yet fetal surgery poses risks to the mother not only during the procedure itself but also during the remainder of the index pregnancy, potentially during any future pregnancies and throughout the woman's entire life.
This article is protected by copyright. All rights reserved.
This article is protected by copyright. All rights reserved. PMID: 31290581 [PubMed - as supplied by publisher]
Publication date: Available online 29 June 2019Source: Best Practice &Research Clinical Obstetrics &GynaecologyAuthor(s): Denise Araujo LapaAbstractPrenatal repair of open spina bifida reduces shunt rates and may improve postnatal motor and neurodevelopmental outcomes. The hysterotomy required for the open fetal surgery leaves subsequent pregnancies at risk of uterine rupture. Hysterotomy site rupture confers significant morbidity and mortality risks for both mother and fetus. Fetoscopic repair is feasible and seems to achieve the same, postnatal neurological outcomes as those of the open repair. Fetoscopy can be a...
CONCLUSIONS: The number of cases operated correlates with the outcome of SB fetal closure and ranges from 35 cases for standard-hysterotomy to ≥56-57 cases for minimally invasive modifications. Our observations provide important information for institutions eager to establish a new fetal center, develop a new technique or train their team, and inform referring clinicians, potential patients and third-parties. This article is protected by copyright. All rights reserved. PMID: 31273862 [PubMed - as supplied by publisher]